Eligible Medical Services definition

Eligible Medical Services means only those hospital expenses, medical expenses, medical plans or any combination of such expenses or plans which, pursuant to the Income Tax Act (Canada), including section 248(1) and section 118.2(2) thereof and regulations thereunder, may be included in the PHSP;
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Eligible Medical Services means those services performed by health care professional and paramedical personnel including medical, surgical, diagnostic, therapeutic, and preventive services which are generally and customarily performed, prescribed, or directed by or on behalf of the Plan. Eligible Medical Services shall mean the lesser of: 1. The amount of the Plan's fee schedule; or 2. The amount of the Reasonable and Customary charges; Eligible Medical Services shall also include Referral Services
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Examples of Eligible Medical Services in a sentence

  • The Plan shall submit a monthly report to Preferred Life listing the names and amounts for those Members who have received Eligible Hospital Services and Eligible Medical Services during the Contract Year which exceed seventy-five (75) percent of the per Member Deductible as set forth in Article II.

  • Premiums shall be payable monthly and shall be based on the number of Members enrolled and eligible to receive Eligible Hospital Services and Eligible Medical Services during the month.

  • Any liability for replacement of equipment, furniture, or supplies which are not Eligible Hospital Services or Eligible Medical Services.

  • The Plan shall keep a record of the monthly enrollment of Members covered by its Membership Service Agreements and the Eligible Hospital Services and Eligible Medical Services received by each Member while covered under this Reinsurance Agreement.

  • For Eligible Medical Services, the Deductible amount for such Reinsurance Coverage shall be $20,000 of the Loss for each Member for each Contract Year.