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What is a claims reimbursement rate, and how is the claim paid to me?

Your reimbursement rate is simply 100% minus your co-payment. It depends on the plan on your schedule:

  • 10% co-payment means we reimburse 90% of the eligible amount
  • 30% co-payment means we reimburse 70%
  • 50% co-payment means we reimburse 50%

This rate applies to the claimable part of the bill only, after non-covered items are removed and before any deductible. For a worked example, see "Why was only part of my bill reimbursed?"

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