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

Covered Services means, with respect to Health Benefits Plans, Medically Necessary services or supplies provided to a Member under the applicable Health Benefits Plan for which the Payor is obligated to pay benefits or provide services.

Examples of Covered Services in a sentence

A Participating Dentist may seek reimbursement from other third party payors for the balance of its reasonable charges for Covered Services ren- dered under this Plan.
Liability of Subscribers in the Event of Non- Payment by Blue Shield of California In accordance with Blue Shield of California's es- tablished policies, and by statute as of 1975, every contract between a contracted Dental Plan Administrator and its Participating Dentists stip- ulates that the Subscriber shall not be responsible to the Participating Dentist for compensation for any Covered Services to the extent that they are provided in the Subscriber's medical policy.
These Covered Services are subject to the sections of the Summary of Benefits entitled Calendar Year Deductible and Max- imum Blue Shield of California Calendar Year Payment.
After the Copayment, benefits for Covered Services will be paid at 100% of the Provider's Charge.
After the Copayment, benefits for Covered Services will be paid at 100% of the Provider's Charge, except as specifically mentioned below.

More Definitions of Covered Services

Covered Services means medically necessary mental health and substance abuse care as defined under the terms of the Program, except to the extent that such care is otherwise limited or excluded under the Program.

Covered Services means the services, supplies, or accommodations for which the Plan provides Benefits.

Covered Services means those health care services which are (i) identified as payable in Certificate(s), (ii) medically necessary as defined in such Certificates, and (iii) ordered and performed by a TRUST PRACTITIONER or other health care PRACTITIONER licensed to order and perform such services.

Covered Services means, except as otherwise provided in the Member’s benefit plan, a complete and routine eye examination including, but not limited to, visual acuities, internal and external examination, (including dilation where professionally indicated,) refraction, binocular function testing, tonometry, neurological integrity, biomicroscopy, keratometry, diagnosis and treatment plan, and when authorized by state law and covered by a Plan, medical eye care, diagnosis, treatment and eye care management services, and when applicable, ordering and dispensing plan eyeglasses from a DAVIS laboratory.

Covered Services means services for which reimbursement

Covered Services means those medical, surgical and related health care services which Practice and Participating Physicians provide to, or arrange for, Enrollees pursuant to a Health Benefit Plan and this Agreement.

Covered Services means the health and medical services described in Articles 2 and 11 of this Chapter as being eligible for reimbursement by AHCCCS.