Covered dental services definition
Covered dental services means Medically Necessary services or supplies listed in Section 2 of the Description of Covered Services.
Covered dental services means dental care services for which reimbursement is available under an enrollee’s health care contract, or for which a reimbursement would be available but for the application of contractual limitations, such as a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, or any other limitation.
Covered dental services means any service, treatment, or procedure that we have reviewed and determined is eligible for reimbursement under this plan.
Examples of Covered dental services in a sentence
Covered dental services may be subject to benefit limits and coinsurance.
Covered dental services paid by other plans will be taken into consideration when determining any duration or visit limits.
Covered dental services shall be provided in accordance with 907 KAR 1:026.
Hospitalization, day surgery, Outpatient and/or anesthesia for non- Covered dental services, are Covered, if provided in a Hospital or ambulatory surgical center for dental surgery, a Prior Authorization may be required.
Covered dental services will be identified using the codes published by the American Dental Association (ADA) for the procedures established by ASES.
More Definitions of Covered dental services
Covered dental services means dental care services for which reimbursement is available under an enrollee’s health care contract, or for which a reimbursement would be available but for the application of contractual limitations, such as a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, or any other limitation. The bill also prohibits such contracts from requiring that a dental care provider contract with a plan offering supplemental or specialty health care services as a condition of contracting with a plan offering basic health care services.
Covered dental services means dental care services for which a reimbursement is
Covered dental services means dental services that meet both of the following criteria:
Covered dental services means dental services for which a reimbursement is available under an enrollee's health benefit
Covered dental services means those dental services or supplies to which ------------------------ a Subscriber is entitled pursuant to the terms of the Subscriber's Health Net Branded Product.
Covered dental services means the dental care services available under the Group Subscriber Benefit Agreement in which a member is enrolled.
Covered dental services means dental care services for which a reimbursement is available under a covered person's dental benefit plan, or for which a reimbursement would be available but for the application of contractual limitations such as deductibles, copayments, coinsurance, waiting periods, annual or lifetime maximums, frequency limitations, alternative benefit payments, or any other limitation.