What is a usual and customary charge and how does that charge affect me as a consumer?
Usual & Customary charges means the normal and customary charge of the provider, incurred by the Covered Person, in the absence of insurance for a service or supply, but not more than the prevailing charge in the geographic area. Geographic area means the three (3) digit zip code in which the service, treatment, procedure, drugs or supplies are provided; greater area if necessary to obtain a representative cross-section of charges for a like treatment, service, procedure, device, drug or supply. Where appropriate, the Usual and Customary (U&C) charge will be determined on the basis of the Ingenix Survey of Prevailing Fees.
