Reasonable medical expense definition

Reasonable medical expense means those charges for medical expenses that are necessary and determined reasonable by reference to charges and quantity of services normally allowed by the State of Wyoming’s employee group health insurance, Medicare, Medicaid customary charges in the area for similar services, and any other relevant sources related to the particular expense at issue. Direct payment or reimbursement may be limited to the lowest levels generally accepted by health care providers for providing similar services in the State of Wyoming.
View Source

Related to Reasonable medical expense

  • Medical expense means an expense incurred at the time a past member or his or her health reimbursement account dependent is furnished the medical care or service. To be considered a medical expense under this act, the expense shall meet all of the following conditions:

  • Medical Expenses means those expenses that an Insured Person has necessarily and actually incurred for medical treatment on account of Illness or Accident on the advice of a Medical Practitioner, as long as these are no more than would have been payable if the Insured Person had not been insured and no more than other hospitals or doctors in the same locality would have charged for the same medical treatment.

  • Reasonable medical judgment means a medical judgment that would be made by a reasonably prudent physician, knowledgeable about the case and the treatment possibilities with respect to the medical conditions involved.

  • Reasonable Additional Expenses means expenses for meals, taxi fares, essential telephone calls, local transportation, and lodging which are necessarily incurred as the result of Trip Delay and which are not provided by the Common Carrier or any other party free of charge.

  • Reasonable costs means the reasonable actual costs and expenses incurred by us in carrying out any further Audit under this Contract, including, but not limited to, reasonable travel and subsistence costs;