Common use of Covered Services Clause in Contracts

Covered Services. You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

Appears in 39 contracts

Samples: Preferred Provider Organization Contract, Preferred Provider Organization Contract, Preferred Provider Organization Contract

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Covered Services. You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; coverage • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

Appears in 13 contracts

Samples: Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract

Covered Services. You will receive Covered Services under the terms and conditions of this Contract Policy only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this ContractPolicy; and • Received while Your Contract Policy is in force.

Appears in 9 contracts

Samples: Participating Provider Organization Insurance Policy, Insurance Policy, Insurance Policy

Covered Services. You will receive Covered Services under the terms and conditions of this Contract Policy only when the Covered Service is: Medically Necessary; Provided by a Participating Provider for in-network coverageProvider; Listed as a Covered Service; Not in excess of any benefit limitations described in the Schedule of Benefits section of this ContractPolicy; and Received while Your Contract Policy is in force.

Appears in 2 contracts

Samples: Dental Insurance Policy, Dental Insurance Policy

Covered Services. You will receive Covered Services under the terms and conditions of this Contract Policy only when the Covered Service is: Medically Necessary; Provided by a Participating Provider for in-network coverage; Listed as a Covered Service; Not in excess of any benefit limitations described in the Schedule of Benefits section of this ContractPolicy; and Received while Your Contract Policy is in force.

Appears in 1 contract

Samples: Insurance Policy

Covered Services. You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.force.‌

Appears in 1 contract

Samples: Preferred Provider Organization Contract

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Covered Services. You will receive get Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for inor Non-network coverageParticipating Provider; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

Appears in 1 contract

Samples: Preferred Provider Organization Contract

Covered Services. You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

Appears in 1 contract

Samples: Preferred Provider Organization Contract

Covered Services. You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: Medically Necessary; Provided by a Participating Provider for in-network coverage; Listed as a Covered Service; Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and Received while Your Contract is in force.

Appears in 1 contract

Samples: Preferred Provider Organization Contract

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