The fixed dollar amount a member pays to their health care provider or pharmacy when covered services are rendered by the health care provider or when the covered prescription drug is purchased.
Note:
Some services and supplies received by members in an office setting or in connection with an office visit are in fact provided by hospital-owned or operated practices. These services and supplies may be subject to your deductible and coinsurance. Prior to scheduling an appointment, please confirm with your provider whether the practice is hospital-owned or whether any services are hospital-based and may be subject to deductible and coinsurance.