Covered Health Services definition

Covered Health Services means the specific Benefits covered under this Certificate and the Group Service Agreement when covered services are:
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Covered Health Services means services that are included in the enrollee’s health care contract with the carrier.
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Covered Health Services means the health
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Examples of Covered Health Services in a sentence

  • Limits may also apply to some Covered Health Services that fall under more than one Covered Health Service category.

  • The Covered Health Services in this section appear in the same order as they do in the table for easy reference.

  • Network BenefitsIn general, if you receive Covered Health Services from a Network provider, UnitedHealthcare will pay the Physician or facility directly.

  • When Benefits are limited within any of the Covered Health Services categories described in Section 6, Additional Coverage Details, those limits are stated in the corresponding Covered Health Service category in Section 5, Plan Highlights.

  • Generally, when you receive Covered Health Services from a Network provider, you pay less than you would if you receive the same care from a non-Network provider.

  • Covered Health Services include related tests and treatment.We also have special prenatal programs to help during Pregnancy.

  • You are eligible for the Network level of Benefits under this Plan when you receive Covered Health Services from Physicians and other health care professionals who have contracted with UnitedHealthcare to provide those services.

  • Benefit LimitationsWhen Benefits are limited within any of the Covered Health Service categories described in Section 1: Covered Health Services, those limits are stated in the corresponding Covered Health Service category in the Schedule of Benefits.

  • To receive Benefits under the CRS program, you must contact CRS prior to obtaining Covered Health Services.

  • For oncology services and supplies to be considered Covered Health Services, they must be provided to treat a condition that has a primary or suspected diagnosis relating to cancer.


More Definitions of Covered Health Services

Covered Health Services. Health care items and services received to which an Enrollee is entitled from MCO under a Plan Contract.
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Covered Health Services. Means the professional, institutional, and ancillary services listed in the State Contract, Appendix C, as the services which are included under the HMO capitation payment for Members 15 years of age and under.
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Covered Health Services. Means those ancillary services covered under the Medicaid Star Program.
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Covered Health Services. Cardiology Services: Advanced Imaging and Diagnostic ServicesStress Testing o Myocardial Perfusion Imaging (SPECT & PET) o Stress Echocardiography  Cardiac CT & MRI  Echocardiography; Transthoracic, Transesophageal  Diagnostic Heart Catheterization
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Related to Covered Health Services

  • Behavioral health services means mental health services as

  • Home health services means part-time or intermittent skilled nursing services, other therapeutic services (physical therapy, occupational therapy, speech therapy), and home health aide services made available on a visiting basis in a place of residence used as the client's home.

  • School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.

  • Health services means, but shall not be limited to, examination, diagnosis, evaluation, treatment, pharmaceuticals, aftercare, habilitation or rehabilitation and mental health therapy of any kind, as well as payment or reimbursement for any such services.

  • Mental health services means interventions designed to provide the maximum reduction of mental disability and restoration or maintenance of functioning consistent with the requirements for learning, development and enhanced self-sufficiency. Services shall include: a. Assessment means a service activity, which may include a clinical analysis of the history and current status of a beneficiary’s mental, emotional, or behavioral disorder, relevant cultural issues and history, Diagnosis and the use of testing procedures.

  • Telehealth services means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient's health care while the patient is at the originating site and the provider for telehealth is at a distant site. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.

  • COVERED HEALTHCARE SERVICES means any service, treatment, procedure, facility, equipment, drug, device, or supply that we have reviewed and determined is eligible for reimbursement under this plan.

  • Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:

  • Behavioral health administration or "BHA" means

  • Health Service means a Local Health District constituted under section 8 of the Health Services Act 1997, a Statutory Health Corporation constituted under section 11 of that Act, and an Affiliated Health Organisation constituted under section 13 of that Act.

  • Health service area or “HSA” refers to the distinct geographic regions described in Section 4.1.4 or the Vermont Blueprint for Health Manual.

  • Behavioral health disorder means either a mental disorder

  • Mental health service provider means a public or private

  • Behavioral health means the promotion of mental health, resilience and wellbeing; the treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these conditions, along with their families and communities.

  • Health Service Provider means a body corporate with perpetual succession established under subsection 32(1)(b) of the Health Services Act 2016 (WA).

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Allied Health Professional means a person registered as an allied health professional with the Health Professions Council;

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Behavioral health treatment means counseling and treatment programs, including applied behavior analysis, that are:

  • Health and Human Services or “HHS” includes HHSC and DSHS.

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Department of Health and Human Services means the Department of Health and Human Services

  • Behavioral therapy means interactive therapies derived from evidence-based research, including applied behavior analysis, which includes discrete trial training, pivotal response training, intensive intervention programs, and early intensive behavioral intervention.

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).