Covered health care services means: the services of physicians,
Covered health care services means any service, treatment, procedure, facility, equipment, drug, device, or supply which we have reviewed and determined is eligible for reimbursement under this agreement.
Covered health care services or "covered services" means health care services for which an enrollee is entitled to receive under the terms of a health maintenance organization contract.
Examples of Covered health care services in a sentence
Covered health care services may be subject to benefit limits, deductibles (if any), and copayments as shown in the Summary of Benefits.
Covered health care services may be subject to benefit limits, deductibles, and copayments as shown in the Summary of Medical Benefits and Summary of Pharmacy Benefits.
Covered health care services and drugs are called “Covered Services.” We cover and manage most Covered Services.
Covered health care services include rehabilitative and habilitative services.
Covered health care services may be subject to benefit limits, deductibles, and copayments as shown in the Summary of Benefits.
More Definitions of Covered health care services
Covered health care services means health care services that are either
Covered health care services means those health care services which an insurer is obligated to pay for or provide to a covered person under a health benefits plan.
Covered health care services means services, items, supplies, or drugs
Covered health care services means any service, treatment, procedure, facility, equipment, drug, device, or supply which we have reviewed and determined is eligible for reimbursement under this agreement. DEDUCTIBLE means the amount that you must pay each calendar year before we begin to pay for certain covered health care services.. The deductible applies to all covered health care services, with the exception of preventive care services. The network provider and non-network provider calendar year deductibles accumulate separately. The deductible amount applied to a covered health care expense is based on the lower of our allowance or the provider’s charge. The family calendar year deductible is met by collectively adding the amount of covered health care expenses applied to the deductible for all eligible family members. See the Summary of Benefits for your calendar year deductible amount(s).
Covered health care services means services, items, supplies, or drugs for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease that are either covered and payable under the terms of the health insurance coverage.
Covered health care services means: the services of physicians, optometrists, nurses, nurse practitioners, midwives and other related professional personnel which are provided on an outpatient basis, including routine well-child visits; diagnosis and treatment of illness and injury; inpatient health care services; laboratory tests; diagnostic x-rays; prescription and non-prescription drugs and durable medical equipment; radiation therapy; chemotherapy; hemodialysis; emergency room services; hospice services; emergency, preventive and routine dental care, [except orthodontia and] including medically necessary orthodontia ut excluding cosmetic surgery; emergency, preventive and routine vision care, including eyeglasses; speech and hearing services; and, inpatient and outpatient mental health, alcohol and substance abuse services as defined by the commissioner in consultation with the superintendent. "Covered health care services" shall not include drugs, procedures and supplies for the treatment of erectile dysfunction when provided to, or prescribed for use by, a person who is required to register as a sex offender pursuant to article six-C of the correction law, provided that any denial of coverage of such drugs, procedures or supplies shall provide the patient with the means of obtaining additional information concerning both the denial and the means of challenging such denial.
Covered health care services means any service, treatment, procedure, facility, equipment, drug, device, or supply which we have reviewed and determined is eligible for reimbursement under this agreement. DEDUCTIBLE means the amount that you must pay each calendar year before we begin to pay for certain covered health care services. The deductible amount applied to a covered health care expense is based on the lower of our allowance or the provider’s charge. See the Summary of Benefits for your calendar year deductible amount(s) and benefit limits. DEVELOPMENTAL SERVICES means therapies, typically provided by a qualified professional using a treatment plan, that are intended to diminish deficiencies in normal age appropriate function. They are directed at limiting deficiencies related to injury or disease that typically has been present since birth (even if not realized until a later developmental stage), but may be the result of injury disease in the developmental period. Developmental services are applied for sustained periods of time to promote acceleration in developmentally related functional capacity. This agreement does not cover developmental services unless specifically listed as covered.