Medical benefit means payment for health care reasonably required by the nature of a compensable injury and intended to:
Medical benefit means all payments made under this Title to the providers of medical care, rehabilitation services and hospital care.
Medical benefit means a benefit paid or payable to a recipient or a provider under a program administered by the state under:
Examples of Medical benefit in a sentence
Note:• Medical benefit period ends immediately upon student’s resumption of classes at any school or upon becoming gainfully employed.• For medical withdrawals, coverage ceases on the last day of formal academic instruction by the school due to any reason.
Medical benefit drugs are subject to the charges applicable under your medical benefit.
Medical benefit ratio is calculated as benefit costs divided by premium revenues and represents the percentage of premium revenues spent on medical benefits for the Company’s insured members.
The Major Medical benefit is designed to complement the Provincial Health Plan.
The client has the limited Citizen Alien Waived Emergency Medical benefit package.
More Definitions of Medical benefit
Medical benefit means a benefit paid or payable to a recipient or a provider
Medical benefit means a benefit paid or payable to:
Medical benefit means a medical benefit under Part II;
Medical benefit means payment for health care
Medical benefit means a healthcare benefit of a patient's healthcare insurance, other than a Pharmacy Benefit, that enables a patient who may have a co-payment to obtain diabetes products and diabetes ancillary supplies and the Third Party is at financial risk for the majority of the cost of the benefit for which claims for reimbursement are submitted via mail channel, on a CMS form 1500 or electronically using the X12837 format, or are submitted on or through another form or format acceptable to the Third Party. "Nationwide Average Fee for Blood Glucose Strips" shall be calculated by proportionately weighting the reimbursement applicable in the District of Columbia and each of the fifty states for blood glucose/reagent strips 50's having a HCPCS code of A4253 per the latest DMEPOS Fee Schedule based on the State's Population as a percentage of the Population of the United States of America; provided that where, at the time of such calculation, the Medicare reimbursement methodology for blood glucose strips is changed due to competitive bidding or other location-specific initiative solely on a statewide basis, that state's DMEPOS Fee Schedule amount and State Population shall be excluded from the Population of the United States of America and the calculation of the Nationwide Average Fee for Blood Glucose Strips."
Medical benefit means medical expenses incurred for reasonable, customary and necessary medical treatment, physical medicine and rehabilitative services, including, but not limited to, hospital, dental, surgical, psychiatric, psychological, osteopathic, ambulance, chiropractic, licensed physical therapy, nursing services, vocational rehabilitation and occupational therapy, speech pathology and audiology, physical therapy optometric services, medications, medical supplies and prosthetic devices, all without limitation as to time, provided that, within eighteen (18) months from the date of accident causing bodily injury; it is ascertainable with reasonable medical probability that further medical expense may be incurred as a result of the bodily injury. Benefits under this paragraph may include any nonmedical remedial care and treatment rendered in accordance with a recognized religious method of healing. All medical treatment and medical and rehabilitative services must be provided by or prescribed by a person or facility approved by the Department of Health, the equivalent governmental agency responsible for health programs or the accrediting designee of a department or agency of the state in which those services are provided. Medical expenses will be paid if incurred within eighteen (18) months from the date of the accident causing bodily injury and if such expenses have not been found to be unnecessary by a state approved Peer Review Organization. However, if within eighteen (18) months from the date of the accident, it can be determined with reasonable medical probability that additional expenses may be incurred after this period, the eighteen (18) month time limit will not apply to the payment of the additional medical expenses. The amount we pay is subject to the limitations of Title 75 of the Pennsylvania Consolidated Statutes. Your covered auto, in this Part B, pertains only to the insured auto: 1. To which liability coverage under this policy applies under Part A – Liability Coverage if the auto is:
Medical benefit means payment for health care reasonably required by the nature of a compensable injury and intended to: (A) cure or relieve the effects naturally resulting from the compensable injury, including reasonable expenses incurred by the employee for necessary treatment to cure and relieve the employee from the effects of an occupational disease before and after the employee knew or should have known the nature of the disability and its relationship to the employment; (B) promote recovery; or (c) enhance the ability of the employee to return to or retain employment.