Additional Definitions Used. In This Part Only 1. Insured person, in Part III, means: a. You or any listed driver, or your dependent child(xxx) who are not undisclosed drivers: (1) While occupying any car; or (2) When struck as a pedestrian by a motor vehicle; or b. Any other person while occupying your insured car with permission of the owner. SAMPLE POLICY Any person while operating a car that is available for hire or while using a car that is part of a Personal Car Sharing Program, a Commercial Ridesharing Program or a similar arrangement. 2. Necessary medical services mean prescribed medical services which are reasonable and necessary for treatment of the bodily injury, including the number and duration of treatments in the region in which those services are provided. The services are limited to medical, surgical, dental, x-ray, ambulance, hospital and professional nursing, and funeral services; and include the cost of pharmaceuticals, orthopedic and prosthetic devices, eyeglasses, and hearing aids. a. Treatment, services, products, or procedures that are: (1) Experimental in nature, for research, or not primarily designed to serve a medical purpose, or (2) Not commonly and customarily recognized throughout the medical profession and within the United States as appropriate for the treatment of bodily injury; or b. The use of: (1) Thermography or other related procedures of a similar nature, or (2) Acupuncture or other related procedures of a similar nature; or (1) Hot tubs, spas, water beds, (2) Exercise equipment, (3) Heating or vibrating devices, (4) Furniture or equipment not primarily designed to serve a medical purpose, (5) Memberships in health clubs, or (6) Medical reports unless requested by 3. Reasonable expenses mean an amount for a medical service that is the lowest of: a. The charges that are usual among providers of similar necessary medical services in the region in which those services are provided; b. Any fee schedule applicable to the type of necessary medical services that were provided in the State where the services were provided, including but not limited to, fee schedules applicable to no-fault benefits, personal injury protection benefits and medical payments coverage; c. The amount agreed upon between the insured person’s medical provider and any third party concerning charges for medical services, if we have a relationship with that third party by contract or through a series of contracts; d. The fees that are agreed to by the medical provider and us; e. If applicable, the amount that any government or government-subsidized program or plan paid to the insured person's medical provider for medical services; or f. The amount that the insured person’s medical provider agreed to accept from the insured person’s health plan.
Appears in 1 contract
Samples: Insurance Policy
Additional Definitions Used. In This Part Only
1. Insured person, in Part III, means:
a. You or any listed driver, or your dependent child(xxx) who are not undisclosed drivers:
(1) While occupying any car; or
(2) When struck as a pedestrian by a motor vehicle; or
b. Any other person while occupying your insured car with permission of the owner. SAMPLE POLICY Any person while operating a car that is available for hire or while using a car that is part of a Personal Car Sharing Program, a Commercial Ridesharing Program or a similar arrangement.
2. Necessary medical services mean prescribed medical services which are reasonable and necessary for treatment of the bodily injury, including the number and duration of treatments in the region in which those services are provided. The services are limited to medical, surgical, dental, x-ray, ambulance, hospital and professional nursing, and funeral services; and include the cost of pharmaceuticals, orthopedic and prosthetic devices, eyeglasses, and hearing aids.
a. Treatment, services, products, or procedures that are:
(1) Experimental in nature, for research, or not primarily designed to serve a medical purpose, or
(2) Not commonly and customarily recognized throughout the medical profession and within the United States as appropriate for the treatment of bodily injury; or
b. The use of:
(1) Thermography or other related procedures of a similar nature, or
(2) Acupuncture or other related procedures of a similar nature; or
(1) Hot tubs, spas, water beds,
(2) Exercise equipment,
(3) Heating or vibrating devices,
(4) Furniture or equipment not primarily designed to serve a medical purpose,
(5) Memberships in health clubs, or
(6) Medical reports unless requested byby us.
3. Reasonable expenses mean an amount for a medical service that is the lowest of:: SAMPLE POLICY
a. The charges that are usual among providers of similar necessary medical services in the region in which those services are provided;
b. Any fee schedule applicable to the type of necessary medical services that were provided in the State where the services were provided, including but not limited to, fee schedules applicable to no-fault benefits, personal injury protection benefits and medical payments coverage;
c. The amount agreed upon between the insured person’s medical provider and any third party concerning charges for medical services, if we have a relationship with that third party by contract or through a series of contracts;
d. The fees that are agreed to by the medical provider and us;
e. If applicable, the amount that any government or government-government- subsidized program or plan paid to the insured person's medical provider for medical services; or
f. The amount that the insured person’s medical provider agreed to accept from the insured person’s health plan.
Appears in 1 contract
Samples: Insurance Policy
Additional Definitions Used. In This Part Only
1. Insured person, in Part III, means:
a. You or any listed driver, or your dependent child(xxx) who are not undisclosed drivers:
(1) While occupying any car; or
(2) When struck as a pedestrian by a motor vehicle; or
b. Any other person while occupying your insured car with permission of the owner. SAMPLE POLICY Any person while operating a car that is available for hire or while using a car that is part of a Personal Car Sharing Program, a Commercial Ridesharing Program or a similar arrangement.
2. Necessary medical services mean prescribed medical services which are reasonable and necessary for treatment of the bodily injury, including the number and duration of treatments in the region in which those services are provided. The services are limited to medical, surgical, dental, x-ray, ambulance, hospital and professional nursing, and funeral services; and include the cost of pharmaceuticals, orthopedic and prosthetic devices, eyeglasses, and hearing aids.
a. Treatment, services, products, or procedures that are:
(1) Experimental in nature, for research, or not primarily designed to serve a medical purpose, or
(2) Not commonly and customarily recognized throughout the medical profession and within the United States as appropriate for the treatment of bodily injury; or
b. The use of:
(1) Thermography or other related procedures of a similar nature, or
(2) Acupuncture or other related procedures of a similar nature; or
(1) Hot tubs, spas, water beds,
(2) Exercise equipment,
(3) Heating or vibrating devices,
(4) Furniture or equipment not primarily designed to serve a medical purpose,
(5) Memberships in health clubs, oror SAMPLE POLICY
(6) Medical reports unless requested by
3. Reasonable expenses mean an amount for a medical service that is the lowest of:
a. The charges that are usual among providers of similar necessary medical services in the region in which those services are provided;
b. Any fee schedule applicable to the type of necessary medical services that were provided in the State where the services were provided, including but not limited to, fee schedules applicable to no-fault benefits, personal injury protection benefits and medical payments coverage;
c. The amount agreed upon between the insured person’s medical provider and any third party concerning charges for medical services, if we have a relationship with that third party by contract or through a series of contracts;
d. The fees that are agreed to by the medical provider and us;
e. If applicable, the amount that any government or government-subsidized program or plan paid to the insured person's medical provider for medical services; or
f. The amount that the insured person’s medical provider agreed to accept from the insured person’s health plan.
Appears in 1 contract
Samples: Insurance Policy
Additional Definitions Used. In This Part Only
1. Insured person, in Part III, means:
a. You or any listed driver, or your dependent child(xxxchild(ren) who are not undisclosed drivers:
(1) While occupying any car; or
(2) When struck as a pedestrian by a motor vehicle; or
b. Any other person while occupying your insured car with permission of the owner. SAMPLE POLICY Any person while operating a car that is available for hire or while using a car that is part of a Personal Car Sharing Program, a Commercial Ridesharing Program or a similar arrangement.
2. Necessary medical services mean prescribed medical services which are reasonable and necessary for treatment of the bodily injury, including the number and duration of treatments in the region in which those services are provided. The services are limited to medical, surgical, dental, x-ray, ambulance, hospital and professional nursing, and funeral services; and include the cost of pharmaceuticals, orthopedic and prosthetic devices, eyeglasses, and hearing aids.
a. Treatment, services, products, or procedures that are:
(1) Experimental in nature, for research, or not primarily designed to serve a medical purpose, or
(2) Not commonly and customarily recognized throughout the medical profession and within the United States as appropriate for the treatment of bodily injury; or
b. The use of:
(1) Thermography or other related procedures of a similar nature, or
(2) Acupuncture or other related procedures of a similar nature; or
(1) Hot tubs, spas, water beds,
(2) Exercise equipment,
(3) Heating or vibrating devices,
(4) Furniture or equipment not primarily designed to serve a medical purpose,
(5) Memberships in health clubs, or
(6) Medical reports unless requested by
3. Reasonable expenses mean an amount for a medical service that is the lowest of:
a. The charges that are usual among providers of similar necessary medical services in the region in which those services are provided;
b. Any fee schedule applicable to the type of necessary medical services that were provided in the State where the services were provided, including but not limited to, fee schedules applicable to no-fault benefits, personal injury protection benefits and medical payments coverage;
c. The amount agreed upon between the insured person’s medical provider and any third party concerning charges for medical services, if we have a relationship with that third party by contract or through a series of contracts;
d. The fees that are agreed to by the medical provider and us;
e. If applicable, the amount that any government or government-subsidized program or plan paid to the insured person's medical provider for medical services; or
f. The amount that the insured person’s medical provider agreed to accept from the insured person’s health plan.
Appears in 1 contract
Samples: Insurance Policy
Additional Definitions Used. In This Part Only
1. Insured person, in Part III, means:
a. You or any listed driver, or your dependent child(xxx) who are not undisclosed drivers:
(1) While occupying any car; or
(2) When struck as a pedestrian by a motor vehicle; or
b. Any other person while occupying your insured car with permission of the owner. SAMPLE POLICY Any person while operating a car that is available for hire or while using a car that is part of a Personal Car Sharing Program, a Commercial Ridesharing Program or a similar arrangement.
2. Necessary medical services mean prescribed medical services which are reasonable and necessary for treatment of the bodily injury, including the number and duration of treatments in the region in which those services are provided. The services are limited to medical, surgical, dental, x-ray, ambulance, hospital and professional nursing, and funeral services; and include the cost of pharmaceuticals, orthopedic and prosthetic devices, eyeglasses, and hearing aids.
a. Treatment, services, products, or procedures that are:
(1) Experimental in nature, for research, or not primarily designed to serve a medical purpose, or
(2) Not commonly and customarily recognized throughout the medical profession and within the United States as appropriate for the treatment of bodily injury; oror SAMPLE POLICY
b. The use of:
(1) Thermography or other related procedures of a similar nature, or
(2) Acupuncture or other related procedures of a similar nature; or
(1) Hot tubs, spas, water beds,
(2) Exercise equipment,
(3) Heating or vibrating devices,
(4) Furniture or equipment not primarily designed to serve a medical purpose,
(5) Memberships in health clubs, or
(6) Medical reports unless requested by
3. Reasonable expenses mean an amount for a medical service that is the lowest of:
a. The charges that are usual among providers of similar necessary medical services in the region in which those services are provided;
b. Any fee schedule applicable to the type of necessary medical services that were provided in the State where the services were provided, including but not limited to, fee schedules applicable to no-fault benefits, personal injury protection benefits and medical payments coverage;
c. The amount agreed upon between the insured person’s medical provider and any third party concerning charges for medical services, if we have a relationship with that third party by contract or through a series of contracts;
d. The fees that are agreed to by the medical provider and us;
e. If applicable, the amount that any government or government-subsidized program or plan paid to the insured person's medical provider for medical services; or
f. The amount that the insured person’s medical provider agreed to accept from the insured person’s health plan.
Appears in 1 contract
Samples: Insurance Policy
Additional Definitions Used. In This Part Only
1. Insured person, in Part III, means:
a. You or any listed driver, or your dependent child(xxx) who are not undisclosed drivers:
(1) While occupying any car; or
(2) When struck as a pedestrian by a motor vehicle; or
b. Any other person while occupying your insured car with permission of the owner. SAMPLE POLICY Any person while operating a car that is available for hire or while using a car that is part of a Personal Car Sharing Program, a Commercial Ridesharing Program or a similar arrangement.
2. Necessary medical services mean prescribed medical services which are reasonable and necessary for treatment of the bodily injury, including the number and duration of treatments in the region in which those services are provided. The services are limited to medical, surgical, dental, x-ray, ambulance, hospital and professional nursing, and funeral services; and include the cost of pharmaceuticals, orthopedic and prosthetic devices, eyeglasses, and hearing aids.
a. Treatment, services, products, or procedures that are:
(1) Experimental in nature, for research, or not primarily designed to serve a medical purpose, or
(2) Not commonly and customarily recognized throughout the medical profession and within the United States as appropriate for the treatment of bodily injury; or
b. The use of:
(1) Thermography or other related procedures of a similar nature, or
(2) Acupuncture or other related procedures of a similar nature; or
(1) Hot tubs, spas, water beds,
(2) Exercise equipment,
(3) Heating or vibrating devices,
(4) Furniture or equipment not primarily designed to serve a medical purpose,
(5) Memberships in health clubs, or
(6) Medical reports unless requested by
3. Reasonable expenses mean an amount for a medical service that is the lowest of:
a. The charges that are usual among providers of similar necessary medical services in the region in which those services are provided;; SAMPLE POLICY
b. Any fee schedule applicable to the type of necessary medical services that were provided in the State where the services were provided, including but not limited to, fee schedules applicable to no-fault benefits, personal injury protection benefits and medical payments coverage;
c. The amount agreed upon between the insured person’s medical provider and any third party concerning charges for medical services, if we have a relationship with that third party by contract or through a series of contracts;
d. The fees that are agreed to by the medical provider and us;
e. If applicable, the amount that any government or government-subsidized program or plan paid to the insured person's medical provider for medical services; or
f. The amount that the insured person’s medical provider agreed to accept from the insured person’s health plan.
Appears in 1 contract
Samples: Insurance Policy
