Common use of Covered Services Clause in Contracts

Covered Services. are Medically Necessary health care services, supplies and drugs that a Member is entitled to receive pursuant to the Health Services Contract and/or Evidence of Coverage applicable to the Member. Except as otherwise provided in the Member’s Health Services Contract and Evidence of Coverage, Covered Services must generally be referred and authorized in conformity with Blue Shield’s utilization management programs.

Covered Services. are the Medically Necessary health care services, supplies and drugs that healthcare services which a Member is entitled to receive pursuant to the Health Services Contract and/or and Evidence of Coverage applicable to the Member. Except as otherwise provided in the Member’s Health Services Contract and Evidence of Coverage, Covered Services must generally be referred and authorized in conformity with the Group’s and Blue Shield’s utilization management programsUtilization Management program.

Covered Services. are Medically Necessary health care services, supplies and drugs that a Member is entitled to receive pursuant to the Health Services Contract and/or Evidence of Coverage Benefit Program applicable to the Member. Except as otherwise provided in the Member’s Health Services Contract and Evidence of Coverage, Covered Services must generally be referred and authorized in conformity with Blue ShieldHealth Plan’s utilization management programs.

Covered Services. are Medically Necessary health care services, supplies and drugs that a Member is entitled to receive pursuant to the Health Services Contract and/or Evidence of Coverage applicable to the Member. Except as otherwise provided in the Member’s 's Health Services Contract and Evidence of Coverage, Covered Services must generally be referred and authorized in conformity with Blue Shield’s 's utilization management programs.