UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES Sample Clauses

UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES. If an insured person incurs expenses for medical services that we deem to be unrea- sonable or unnecessary, we may refuse to pay for those expenses and contest them. If the medical service provider sues the insured person because we refuse to pay expenses for medical services that we deem to be unreasonable or unnecessary, we will pay any resulting defense costs, and any resulting judgment against the insured person, subject to the limit of liability for this coverage. We will choose the counsel. We will also pay reasonable expenses, including loss of earnings up to $200 per day, incurred at our request. The insured person may not sue us for expenses for medical services we deem to be unreasonable or unnecessary unless the insured person paid the entire disputed amount to the medical service provider or the medical service provider has initiated collection activity against the insured person for the unreasonable or unnecessary expenses.
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UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES. 1. Upon conclusion of our review of medical expenses, we may refuse to pay for medical expenses that we determine to be unreasonable or unnecessary because:
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UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES. If an insured person incurs expenses for medical services that we deem to be un- reasonable or unnecessary, we will resolve the dispute with the service provider. If we are unable to reach an agreement with a service provider, we will pay the full amount billed and notify the insured person that any future charges from the service provider in excess of the reasonable and necessary expenses will be the responsibility of the insured person. If the medical service provider sues the insured person because we refuse to pay ex- penses for medical services that we deem to be unreasonable or unnecessary, we will pay any resulting defense costs, and any resulting judgment against the insured person, subject to the limit of liability for this coverage. We will choose the counsel. We will also pay reasonable expenses, including loss of earnings up to $200 per day, incurred at our request. The insured person may not sue us for expenses for medical services we deem to be unreasonable or unnecessary unless the insured person paid the entire disputed amount to the medical service provider or the medical service provider has initiated collection activ- ity against the insured person for the unreasonable or unnecessary expenses.
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UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES. If an insured person incurs expenses for medical services that we deem to be unrea- sonable or unnecessary, we may refuse to pay for those expenses and contest them . If the medical service provider sues the insured person because we refuse to pay ex- penses for medical services that we deem to be unreasonable or unnecessary, we will pay any resulting defense costs, and any resulting judgment against the insured person, subject to the limit of liability for this coverage . We will choose the counsel . We will also pay reasonable expenses, including loss of earnings up to $200 per day, incurred at our request . The insured person may not sue us for expenses for medical services we deem to be unreasonable or unnecessary unless the insured person paid the entire disputed amount to the medical service provider or the medical service provider has initiated collec- tion activity against the insured person for the unreasonable or unnecessary expenses .
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UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES. If an insured person incurs expenses for medical services that we deem to be not reasonable or not necessary for the diagnosis or treatment of the bodily injury, we may refuse to pay for those expenses and contest them. If the medical service provider sues the insured person because we refuse to pay expenses for medical services that we deem to be not reasonable or not necessary for the diagnosis or treatment of a bodily injury, we will pay any resulting defense costs outside of the limit of liability shown on the declarations page for Medical Payments Coverage. We will also pay any resulting judgment against the insured person, subject to the limit of liability for this coverage. We will choose the counsel. We will also pay reasonable expenses, including loss of earnings up to $200 per day, incurred at our request. The insured person may not sue us for expenses for medical services we deem to be not reasonable or not necessary for the diagnosis or treatment of a bodily injury unless the insured person paid the entire disputed amount to the medical service provider or the medical service provider has initiated collection activity against the insured person for the expenses we have refused to pay because the expense is not reasonable or not necessary for the diagnosis or treatment of the bodily injury.
Sample 1
UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES. If an insured person incurs expenses for medical services that we deem to be unrea- sonable or unnecessary, we may refuse to pay for those expenses and contest them. If the medical service provider sues the insured person because we refuse to pay expenses for medical services that we deem to be unreasonable or unnecessary, we will pay any resulting defense costs, and any resulting judgment against the in- sured person, subject to the limit of liability for Full Timer’s Medical Payments Cover- age. We will choose the counsel. We will also pay reasonable expenses, including loss of earnings up to $200 per day, incurred at our request. The insured person may not sue us for expenses for medical services we deem to be unreasonable or unnecessary unless the insured person paid the entire disputed amount to the medical service provider or the medical service provider has initiated collection activ- ity against the insured person for the unreasonable or unnecessary expenses.
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Related to UNREASONABLE OR UNNECESSARY MEDICAL EXPENSES

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