Covered benefits definition

Covered benefits or “benefits” means those health care services to which a covered person is entitled under the terms of a health benefit plan.
Covered benefits or "benefits" means those health care services to which an individual is entitled
Covered benefits or "benefits" means those health care services to which a covered person is

Examples of Covered benefits in a sentence

  • Special Medical Foods as listed as Covered benefits in the Genetic Inborn Errors of Metabolism (IEM) Benefit of this Section.

  • Covered benefits provided under any other plan will always be paid before the benefits under our plan if that insurer does not use a similar coordination of benefits rule to determine coverage.

  • IMPORTANT NOTE: Covered benefits are listed in Sections A, B and C.

  • Covered benefits include:- The first denture or fixed bridgework to replace lost teeth,- The first crown needed to repair each damaged tooth,- An in-mouth appliance used in the first course of orthodontic treatment after the injury,- Surgery needed to: treat a fracture, dislocation or wound; alter the jaw, jaw joints, or bite relationships by a cutting procedure when appliance therapy alone cannot result in functional improvement.

  • Covered benefits are allowed for Substance Abuse Structured Outpatient Rehabilitation Programs.


More Definitions of Covered benefits

Covered benefits or Covered Services means those Health Care Services to which a Member is entitled under the terms of this Contract. Member’s cost-sharing responsibilities for Covered Services, including any applicable Deductible, Copayments and Coinsurance amounts, are outlined in the Schedule of Benefits.
Covered benefits means covered benefits as specified in section 249N.5.
Covered benefits or "benefits" means those health care services to which an individual is entitled under the terms of a health benefit plan.
Covered benefits or "benefits" means those health care
Covered benefits means any payment or benefit paid or provided to the Employee by the Bank or any affiliate or any successor in interest to the Bank (whether pursuant to this Agreement or otherwise) that will be (or in the opinion of Tax Counsel (as defined below) might reasonably be expected to be) subject to any excise tax (the "Excise Tax") imposed under Section 4999 of the Internal Revenue Code of 1986, as amended (the "Code"). In the event that at any time during or after the Term of Employment the Employee shall receive any Covered Benefits, the Bank shall pay to the Employee an additional amount (the "Gross-Up Payment") such that the net amount retained by the Employee from the Gross-Up Payment, after deduction of any federal, state and local income taxes, Excise Tax, and FICA and Medicare withholding taxes on the Gross-Up Payment, shall be equal to the Excise Tax on the Covered Benefits. For purposes of determining the amount of such Excise Tax on the Covered Benefits, the amount of the Covered Benefits that shall be taken into account in calculating the Excise Tax shall be equal to (i) the Covered Benefits, less (ii) the amount of such Covered Benefits that, in the opinion of tax counsel selected by the Bank and reasonably acceptable to the Employee ("Tax Counsel"), are not parachute payments (within the meaning of Section 280G(b)(1) of the Code).
Covered benefits means any payment or benefit paid or provided to the Executive by the Bank, the Corporation or any affiliate or successor in interest (whether pursuant to this Agreement or otherwise) that, in the opinion of Tax Counsel (as defined below), might reasonably be expected to be subject to any excise tax (the "Excise Tax") imposed under Section 4999 of the Internal Revenue Code of 1986, as amended (the "Code"). In the event that the Executive shall receive Covered Benefits, the Corporation shall pay to the Executive an additional amount (the "Gross-Up Payment"), so that the net amount retained by the Executive from the Gross-Up Payment, after deduction of any federal, state and local income taxes, Excise Tax, and FICA and Medicare withholding taxes on the Gross-Up Payment, shall be equal to the Excise Tax on the Covered Benefits. For purposes of determining the amount of the Excise Tax on the Covered Benefits, the amount of the Covered Benefits that shall be taken into account in calculating the Excise Tax shall be equal to (i) the Covered Benefits, less (ii) the amount of such Covered Benefits that, in the opinion of tax counsel selected by the Company and reasonably acceptable to the Executive ("Tax Counsel"), are not parachute payments (within the meaning of Section 280G(b)(1) of the Code).
Covered benefits means those Medically Necessary services, prescription drugs and supplies that Members are entitled to receive under this Group Agreement and which are described in the Member Handbook.