Eligible Medical Expenses definition

Eligible Medical Expenses or “EME” means the maximum amount SHL will pay for a particular Covered Service as determined by SHL in accordance with SHL’s Reimbursement Schedule.

Eligible Medical Expenses or “EME” means the maximum amount HPN will pay for a particular Covered Service as determined by HPN in accordance with HPN’s Reimbursement Schedule.

Eligible Medical Expenses means those expenses incurred by the Employee, or the Employee’s Spouse or Dependents, after the date of the Employee’s participation in the Health FSA and during the Plan Year to the extent that the expense satisfies the conditions set forth in the Summary Plan Description and are for “medical care” as defined by Code Section 213(d). For purposes of this Plan, the following expenses are not considered “Eligible Medical Expenses” even if they otherwise constitute “medical care” under Code Section 213(d):

Examples of Eligible Medical Expenses in a sentence

• If the Insured Person and his/her healthcare providers comply with the Pre- certification requirements of the Master Policy and this Certificate, and the Treatment or supplies are Pre-certified as Medically Necessary, the Company will reimburse the Insured Person for Eligible Medical Expenses up to the amount shown in the BENEFIT SUMMARY incurred in relation thereto, subject to all Terms of this insurance.

• Eligible and covered claims for Eligible Medical Expenses or other benefits under this insurance that have not been paid by or on behalf of the Insured Person at the time of adjudication will be paid by the Company by check or electronic funds transfer to the Insured Person at his/her last known residence or mailing address, or, at the sole option and discretion of the Company (but without obligation to do so), and as an accommodation to the Insured Person, directly to the provider(s), as applicable.

• Eligible and covered claims for Eligible Medical Expenses or other benefits under this insurance that have previously been paid by or on behalf of the Insured Person at the time of the Company’s favorable adjudication thereof will be reimbursed by the Company directly to the Insured Person, by check, at his/her last known residence or mailing address.

• Expenses for travel will not be considered eligible, except as specified under Eligible Medical Expenses.

• Diabetic education is considered eligible as specified under Eligible Medical Expenses.

More Definitions of Eligible Medical Expenses

Eligible Medical Expenses means those expenses incurred by the Employee, or the Employee's Spouse or Dependents, after the date of the Employee's participation in the URM and during the Plan Year (plus any applicable grace period extension or carryover option as described in the SPD) to the extent that the expense satisfies the conditions set forth in the Summary Plan Description and are for "medical care" as defined by Code Section 213(d). For purposes of this Plan, the following expenses are not considered "Eligible Medical Expenses" even if they otherwise constitute "medical care" under Code Section 213(d): i) expenses for qualified long term care services (as defined in Code § 7702B(c)); and ii) expenses incurred for health insurance premiums; and iii) over-the-counter drugs and medicines that are not prescribed by a physician. For purposes of this Plan, an expense is "incurred" when the Participant or beneficiary is furnished the medical care or services giving rise to the claimed expense, regardless of when the expense is paid.

Eligible Medical Expenses means those necessitated expenses actually paid by the Insured Person to a Medical Practitioner, physiotherapist, nurse, Hospital and/or ambulance service including expenses for Prescribed Medicine, surgery, nursing treatment, paramedic services and diagnostic tests.

Eligible Medical Expenses means an expense paid by the taxpayer for medical care described in Section 213(d) of the Internal Revenue Code;

Eligible Medical Expenses means medically necessary goods or services of a

Eligible Medical Expenses means such expenses as defined in clause 8 of these Guidelines.

Eligible Medical Expenses means those expenses identified eligible under Section 213(d) of the Code. Effective January 1, 2011, Eligible Medical Expenses shall specifically exclude expenses for a medicine or drug unless such medicine or drug is a prescribed drug (determined without regard to whether such drug is available without a prescription) or is insulin.

Eligible Medical Expenses means those expenses that are eligible for reimbursement under this Health FSA as set forth in the SPD.