Non-Covered Services means those vision care services which are not Covered Services under Plan Contract(s).
Non-Covered Services means services or items for which the Authority is not responsible for payment or reimbursement. Non-covered services are identified in:
Non-Covered Services means those items and services that are not covered benefits under a particular CalOptima Program in accordance with the Evidence of Coverage or Member handbook and applicable State and Federal laws and regulations.
Examples of Non-Covered Services in a sentence
Neither the [Tier 1] nor the [Tier 2] Cash Deductible can be met with Non-Covered Services and Supplies.
Services or supplies which are not included within Our definition of Covered Services or Supplies, are included in the list of Non-Covered Services and Supplies, or which exceed any of the limitations shown in this Contract.
The Cash Deductible cannot be met with Non-Covered Services or Supplies.
The Cash Deductible cannot be met with Non-Covered Services and Supplies.
PROVIDER shall bill and collect all charges from a Member for those Non-Covered Services provided to a Member.
More Definitions of Non-Covered Services
Non-Covered Services shall have the meaning given to such term in each applicable O&M Agreement.
Non-Covered Services means health care services that are not benefits under the Evidence of Coverage.
Non-Covered Services means those services not covered by a patient’s Health Insurance Policy. This definition includes services not covered (i) as a result of a pre-existing condition exclusion; (ii) because a patient has exhausted his or her benefits; (iii) because they are denied through a Health Insurance Policy’s pre- authorization process; and (iv) services for which the patient has elected to opt out of his or her Health Insurance Policy coverage and to pay out of pocket. For purposes of a Federal health care program beneficiary, “Non-Covered Services” means only those services that are statutorily excluded from coverage. Patient co- pays and deductibles are not considered “Non-Covered Services.”
Non-Covered Services has the meaning provided for in OAR 410-120-0000.
Non-Covered Services means those services not covered by the Programs, such as procedures which are primarily for cosmetic purposes, for which dental necessity cannot be demonstrated, or which are otherwise determined to be beyond the scope of the Programs. Medical/dental supplies and equipment and other devices that are essential for the Member's medical/dental condition shall be allowable unless such services are otherwise available at no charge from community services (such as the American Cancer Society or other
Non-Covered Services means those vision care services which are not Covered Services and which are not covered benefits under the Plan Contracts between DAVIS and the Plan(s).
Non-Covered Services means those health care services and supplies that are not Covered Services under the applicable Payor Agreement and Plan.