Covered Services means all or a part of those medical and health services set forth in rule 441—86.14(514I).

Covered Services means the services, supplies, or accommodations for which the Plan provides Benefits.

Examples of Covered Services in a sentence

OHA will also be responsible for, with the assistance of Contractor, providing Care Coordination for the services ancillary to OOHBs including, but not limited to, pharmacy, ultrasounds, labs, prenatal vitamins, and all other Covered Services related to typical maternity care.
However, Contractor shall be responsible for payment of the foregoing typical ancillary maternity care services in accordance with OAR 410-141-3826 and continue to be responsible for providing Care Coordination and payment of Covered Services other than those related to maternity care.
Contractor shall make Covered Services available twenty-four (24) hours a day, seven (7) days a week, when Medically Appropriate as set forth in OAR 410-141-3515.
OHA has developed actuarially set Adjusted Per Capita Costs (Capitation Rates) to reimburse plans for providing the Covered Services.
Contractor shall pay Indian Health Care Providers for Covered Services provided to those Members who are eligible to receive services from such Providers under the otherwise applicable provisions of this Contract, including but not limited to the Non-Participating Provider provisions in OAR 410-120-1295.

More Definitions of Covered Services

Covered Services means medically necessary mental health and substance abuse care as defined under the terms of the Program, except to the extent that such care is otherwise limited or excluded under the Program.

Covered Services means, except as otherwise provided in the Member’s benefit plan, a complete and routine eye examination including, but not limited to, visual acuities, internal and external examination, (including dilation where professionally indicated,) refraction, binocular function testing, tonometry, neurological integrity, biomicroscopy, keratometry, diagnosis and treatment plan, and when authorized by state law and covered by a Plan, medical eye care, diagnosis, treatment and eye care management services, and when applicable, ordering and dispensing plan eyeglasses from a DAVIS laboratory.

Covered Services means the health services, supplies and accommodations for which HPN pays benefits under this Plan.

Covered Services means those medically necessary health care services and supplies that a Payer has contracted to pay for and provide to Covered Persons.

Covered Services means services for which reimbursement

Covered Services means dental care services for which a reimbursement is available under an enrollee's plan contract, or for which a 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 any other limitation.