Eligible Treatment definition

Eligible Treatment means treatment delivered to Members that is: (1) covered by the Member’s policy; (2) delivered by a provider recognised by us for that treatment; and (3) delivered at a facility recognised by us for that treatment.
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Eligible Treatment means treatment provided to Members that is: (1) covered by the Member’s policy; (2) performed by a consultant recognised by us for that treatment; and (3) performed at a facility recognised by us for that treatment. . For the purposes of this agreement, Eligible Treatment in respect of diagnostic tests will be limited to the Diagnostic Tests.
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Eligible Treatment means treatment delivered to Members that is: (1) covered by the Member’s policy; (2) delivered by a Therapist recognised by us for that treatment; and (3) delivered at a facility recognised by us for that treatment.
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Examples of Eligible Treatment in a sentence

  • This might mean that You have to pay a deposit to the Hospital or pay Your bill in full.If You go to an Out of Network Medical Provider, We will apply a Co-Insurance of 50% to any Eligible Treatment as per Your Benefit Schedule.

  • If We determine that a claim was fraudulent, We may terminate You from the Group Plan with immediate effect without refund of premiums.If You receive Eligible Treatment within the Now Health International Provider Network but pay and claim for theTreatment received, the standard Out-Patient Per Visit Excess or Co-Insurance will apply.Out-Patient Direct Billing is not available for dental, maternity and wellness, optical and Vaccinations Benefits unless it is specified on Your Membership Card.

  • Provided that Member maintains continuous enrollment in Plan, any Eligible Treatment rendered under the Plan is eligible for Maintenance for a maximum term of five (5) years following the date upon which the Eligible Treatment was originally performed by Provider.

  • In the event that Member fails to either (i) timely notify Provider of the need for Maintenance, or (ii) appear for a scheduled appointment with Provider, Member may cease to be eligible for Maintenance with regard to the Eligible Treatment at issue.

  • Parent Accommodation:The cost of one parent staying in Hospital overnight with an Insured Person under 18 years old while the child is admitted as an In-Patient for Eligible Treatment.

  • You should note that, as referred to above, we will only pay fees for Eligible Treatment.

  • You further agree that we will only pay for treatment which constitutes Eligible Treatment, and which has been carried out by you in accordance with this Agreement.

  • You agree to invoice us only for Eligible Treatment, carried out by you in accordance with this Agreement.

  • Any invoices submitted after a period of 6 (six) months from the date of the Eligible Treatment will be rejected, in which case you agree not to contact the Member for payment.

  • As part of these audit rights you agree, at no additional cost, to make available to us reasonable evidence of your compliance with the obligations set out in this Agreement, and to allow for and contribute to audits on Eligible Treatment, including physical inspections of your premises, auditing and copying any relevant records, processes and systems, conducted by any member of the Bupa Group, its representatives or regulators.


More Definitions of Eligible Treatment

Eligible Treatment means a banded course of treatment, excluding a Band 1 course of treatment that consists of urgent treatments delivered as a mandatory service.
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Eligible Treatment means treatment for which the Relevant Member is entitled to be reimbursed under the Rules . Facility: means the Bupa Recognised Physiotherapy Provider facility(ies) or location(s) set out on Page 1 of this Contract.
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Eligible Treatment means treatment provided to Members that is: (1) covered by the Member’s policy; (2) performed by a consultant recognised by us for that treatment; and (3) performed at a facility recognised by us for that treatment or remotely where Remote Consultations are recognised by us under these Remote Terms.
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Related to Eligible Treatment

  • Day Care Treatment means medical treatment, and/or surgical procedure which is:

  • Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which:

  • Day treatment means specialized treatment that is provided to:

  • Substance abuse treatment means outpatient or inpatient services or participation in Alcoholics Anonymous or a similar program.

  • Active treatment means the implementation of an individualized care plan developed under and supervised by a physician and other qualified mental health professionals that prescribes specific therapies and activities.

  • Thermal treatment means the treatment of hazardous waste in a device which uses elevated temperatures as the primary means to change the chemical, physical, or biological character or composition of the hazardous waste. Examples of thermal treatment processes are incineration, molten salt, pyrolysis, calcination, wet air oxidation, and microwave discharge. (See also “incinerator” and “open burning”.)

  • Eligible teacher means a teacher who:

  • Eligible Transaction means any transaction,—

  • Treatment means any method, technique, or process, including neutralization, designed to change the physical, chemical, or biological character or composition of any hazardous waste so as to neutralize such waste, or so as to recover energy or material resources from the waste, or so as to render such waste non-hazardous, or less hazardous; safer to transport, store, or dispose of; or amenable for recovery, amenable for storage, or reduced in volume.

  • Dental Treatment means a treatment related to teeth or structures supporting teeth including examinations, fillings (where appropriate), crowns, extractions and surgery.

  • Eligible veteran means an individual who is certified by the Wisconsin Department of Veterans Affairs as meeting all of the following conditions:

  • Medical Treatment means examination and treatment by a Legally Qualified Physician for a condition which first manifested itself, worsened or became acute or had symptoms which would have prompted a reasonable person to seek diagnosis, care or treatment.

  • Eligible Vehicle means a motor vehicle that:

  • Less restrictive alternative treatment means a program of

  • Maltreatment means the neglect, abuse, or financial exploitation of a vulnerable adult.

  • Eligible Asset An Asset:

  • Eligible child means the children of:

  • Eligible Transactions means any retail transactions for the purchase of goods and/or services successfully charged to your Principal Credit Card and which are posted on UOB’s systems but excluding the Excluded Transactions (as defined below). For the avoidance of doubt, Eligible Transactions made in foreign currencies will be converted into Singapore dollars based on UOB’s then prevailing exchange rate applicable at the time of exchange. The transaction amount posted in your Principal Credit Card account will be used for the purposes of computing the Qualifying Spend amount for this Promotion.

  • Eligible Trust means - (i) a trust created by or in pursuance of the provisions of any law which is for the time being in force in any State, or (ii) a trust, the properties of which are vested in a treasurer under the Charitable Endowments Act 1890 (Act 6 of 1890), or (iii) a religious or charitable trust which is administered or controlled or supervised by or under the provisions of any law, which is for the time being in force relating to religious or charitable trusts or, (iv) any other trust, being an irrevocable trust, which has been created for the purpose of or in connection with the endowment of any property or properties for the benefit or use of the public or any section thereof, or (v) a trust created by a will which is valid and has become effective, or (vi) any other trust, being an irrevocable trust, which has been created by an instrument in writing and includes `depository' within the meaning of Clause(e) of Sub-section (1) of Section 2 of The Depository Act, 1996;

  • Emergency Treatment means Medical Service required in an Emergency. The Emergency event or situation, and the required Medical Service cannot be and are not separated by an unreasonable period of time.

  • Secondary treatment means a combination of unit processes that will consistently remove 85% or more of the organic and suspended material in domestic wastewater and produce an effluent of sufficient quality to satisfy the following requirements; monthly average effluent BOD5 and TSS concentrations of 30 mg/L; daily maximum effluent BOD5 and TSS concentrations of 45 mg/L.

  • Continuing treatment means ongoing medical treatment or supervision by a health care provider.

  • Eligible adult means any of the following:

  • OPD treatment means the one in which the Insured visits a clinic / hospital or associated facility like a consultation room for diagnosis and treatment based on the advice of a Medical Practitioner. The Insured is not admitted as a day care or in-patient.

  • Medication-assisted treatment or "MAT" means the use of pharmacologic therapy, often in combination with counseling and behav- ioral therapies, for the treatment of substance use disorders.

  • Eligible Unit means, as of the time any Liquidating Gain is available to be allocated to an LTIP Unit or a Performance Unit, an LTIP Unit or Performance Unit to the extent, since the date of issuance of such LTIP Unit or Performance Unit, such Liquidating Gain when aggregated with other Liquidating Gains realized since the date of issuance of such LTIP Unit or Performance Unit exceeds Liquidating Losses realized since the date of issuance of such LTIP Unit or Performance Unit, as applicable.