Common use of Reimbursement Terms and Conditions Clause in Contracts

Reimbursement Terms and Conditions. ‌ Eligible expenses for services, care, treatment and supplies are reimbursed according to the terms and conditions indicated in the Schedule of Benefits. These expenses are eligible up to a maximum of the suggested fees in the Fee Guide for the reference year specified in the Schedule of Benefits. Before starting a major treatment, it is recommended that the insured person submit a detailed treatment plan to the Insurer before beginning treatment. After reviewing the treatment plan, the Insurer informs the insured person of the reimbursement amount available in accordance with the provisions of this contract.

Reimbursement Terms and Conditions. ‌ Eligible expenses for services, care, treatment and supplies are reimbursed according to the terms and conditions indicated in the Schedule of Benefits. These expenses are eligible up to a maximum of the suggested fees in the Fee Guide for the reference year specified in the Schedule of Benefits. Before starting a major treatment, it is recommended that the insured person submit a detailed treatment plan to the Insurer before beginning treatment. After reviewing the treatment plan, the Insurer informs the insured person of the reimbursement amount available in accordance with the provisions of this contract.