3162095v1 - Segal Master Plan Document/SPD: COPY ONLY!!!!

COPAYMENT. A copayment (or copay, as it is sometimes called) is a set dollar amount you (and not the Plan) are responsible for paying when you incur certain Eligible Medical Expenses. The Plan’s copayments are indicated in the Schedule of Medical Benefits. Under the OAP Plan copayments are not used to satisfy the deductible. ................
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