Covered service means a health care service provided to a
Covered service means a service as defined in the state plan or approved waiver, Minnesota Statutes, §256B.0625, et seq., and Minnesota Rules, Parts 9505.0170 through 9505.0475, and as applicable, Minnesota Statutes, §256S, and that is provided in accordance with the MCO’s Service Delivery Plan and the MCO Enrollee Handbook, as approved by the STATE.
Covered service means Medically Necessary services or supplies provided in accordance with the terms of this Agreement other than Covered Dental Services or Covered Vision Services.
Examples of Covered service in a sentence
Services must meet the following requirements: • Be a Covered Service under this EOC.
Charges will be for the lesser of the Cost Shares for the Covered Service or the actual charge for that service.
More Definitions of Covered service
Covered service means credited service acquired in a covered position.
Covered service means a service for which benefits are provided under a health plan that provides coverage for vision care or eye care services or a limited benefit vision insurance plan.[PL 2015, c. 171, §1 (NEW); PL 2015, c. 171, §4 (AFF).]
Covered service means, with respect to dental or related services specified in a policy or plan that provides coverage for those services, a service provided by a dentist or at the direction of a dentist to an insured under the policy or an enrollee of the plan for which the policy or plan makes payment, administered consis- tently with policies traditionally governing covered services, or for which the policy or plan would make payment but for the application of contractual limitations of deductibles, copayments, coinsurance, waiting periods, annual maximums, lifetime maxi- mums applicable to the same course of treatment, frequency limi- tations, or alternative benefit payments.
Covered service means a dental service for which reimbursement is available under a covered individual’s dental insurance plan or health insurance plan or for which reimbursement would be available but for the application of contractual limitations such as deductibles, co-payments, coinsurance, waiting periods, annual or lifetime maximums, frequency limitations, alternative benefit payments, or other limitations.
Covered service. A service or supply specified in this Contract for which Benefits are available when rendered by a Provider. Crown – A tooth-shaped cap that is placed over a tooth to cover it and restore its shape and size, strength, and improve its appearance. When a crown is cemented into place, it fully encases the entire visible portion of a tooth that lies at and above the gum line. Deductible – The dollar amount, if shown in the Schedule of Dental Benefits, of Allowable Charges for Covered Services that each Member must pay within a Benefit Period before payments are made under this Contract. If shown in the Schedule of Benefits, the Deductible may be waived for certain services. Dental Care and Treatment – All procedures, treatment, and surgery considered to be within the scope of the practice of dentistry, which is defined as that practice in which a person:
Covered service means a dental service for which reimbursement
Covered service means a service provided to a member for which payment is available under the plan, subject to the limitations set forth in this article.