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Noncovered services definition

Noncovered services means services covered under Medicaid which are not included in the HMO’s contract with the department. Payment for these services will be made under regular Medicaid procedures.
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Noncovered services means services that are not covered by
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Noncovered services means services that are not covered by a vision plan.
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Examples of Noncovered services in a sentence

  • Non-covered services include services specifically excluded from coverage by the terms of your plan and services received after benefits have been exhausted.

  • Non-covered services under an insurance policy and patients/Guarantors that provide evidence that no health insurance coverage exists either through an employer-provided program or a governmental program such as Medicare, Medicaid or other state and local program to pay for the medically necessary health care services rendered to the patient, shall be eligible for an Uninsured Patient Discount.

  • Noncovered services include, but are not limited to, the following services:a.

  • Code § DHS 107.08(3)(a)2.⚫ Noncovered services if certain conditions are met.⚫ Covered services for which PA (prior authorization) was denied (or an originally requested service for which a PA request was modified) if certain conditions are met.

  • Code § DHS 107.08(3)(a)2.● Noncovered services if certain conditions are met.● Covered services for which PA (prior authorization) was denied (or an originally requested service for which a PA request was modified) if certain conditions are met.

  • Approval shall be given when the recipi- ent’s vision has at least a five-tenths diopter of change in sphere or cylinder or ten degree change in axis in either eye.78.7(3) Noncovered services include but are not limited to the following services:a.

  • The Contractor shall have written policies and procedures for the referral of Enrollees for Non-covered services which shall provide for the smooth transition to Outside Providers and assistance to Enrollees in obtaining a new primary care physician, if appropriate.

  • Non-covered services - Those goods and services which are not medically necessary for the care and treatment of inpatients as defined in CMS PUB.

  • Code § DHS 107.08(3)(a)2.⭘ Noncovered services if certain conditions are met.⭘ Covered services for which PA (prior authorization) was denied (or an originally requested service for which a PA request was modified) if certain conditions are met.

  • Non-covered services include those ineligible under the Member’s Plan Documents, deemed experimental or investigational, or deemed not medically necessary by Blue Shield and/or, as applicable, Health Plan.


More Definitions of Noncovered services

Noncovered services means those services not covered under the scope and content of the medical assistance program.
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Related to Noncovered services

  • Covered Services means all or a part of those medical and health services set forth in rule 441—86.14(514I).

  • Covered service means a health care service provided to a

  • Shared Services means the centralized, shared or pooled services, undertakings and arrangements which are provided by the Service Company or any of its Subsidiaries to or for the benefit of the Ultimate Parent and its Subsidiaries pursuant to the Shared Services Agreement, including, without limitation, the acquisition and ownership of assets by the Service Company or any of its Subsidiaries used in the provision of the foregoing and centralized payroll, benefits and account payable operations.

  • Planned Service Interruption means a Service Interruption that has been scheduled to occur in accordance with Schedule 5;

  • Medical personnel means those persons assigned, by a Party to the conflict, exclusively to the medical purposes enumerated under subparagraph (e) or to the administration of medical units or to the operation or administration of medical transports. Such assignments may be either permanent or temporary. The term includes:

  • Basic generation service or "BGS" means electric generation

  • Basic generation service provider or "provider" means a

  • Managed Services means the services provided by a Client to End Users using the SaaS and Client’s intellectual capital and/or additional services supplied by Client.

  • Hosting Services means the provision, administration, and maintenance of servers and related equipment, the provision of bandwidth at the hosting facility, and the operation of the Application for access by Customer Users to be provided by the relevant hosting service provider.

  • Specialized services means any program or service designed and operated to serve primarily individuals with developmental disabilities, including a program or service provided by an entity licensed or certified by the department. If there is a question as to whether a provider or entity under contract with a provider is providing specialized services, the provider or contract entity may request that the director of the department make a determination. The director's determination is final.

  • Unplanned Service Interruption means any Service Interruption where events or circumstances prevent the timely communication of prior warning or notice to the Trader or any affected Customer;

Most Referenced Clauses

Most Referenced Definitions