Accidental Medical Expenses definition

Accidental Medical Expenses means medical surgical hospital and nursing fees or charges necessarily and reasonably incurred within 12 months of the happening of the Accident provided that 1) all such fees or charges are necessarily and reasonably incurred for medical professional services of a fully qualified and registered medical practitioner physical surgeon or nurse, and 2) in the event of the Insured Person becoming entitled to a refund of all or part of such expenses from any other source, the Company will only be liable for the excess of the amount recoverable from such other source. Reimbursement of such fees or charges shall not exceed the amount stated in the Policy Schedule in respect of any one Injury.
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Accidental Medical Expenses means the actual medical expenses paid by an Insured Person to a Physician, Surgeon, nurse, hospital and/or ambulance service for medical treatment within 52 weeks from the date of the Accident resulting in the Injury concerned. Such expenses shall exclude the cost of dental treatment unless such treatment is occasioned by the Injury and is medically necessary for the treatment of one’s sound and natural teeth. Provided that in the event of an Insured Person becoming entitled to a refund of all or part of such expenses from any other source, the Company will only be liable for such amount in excess of the amount recoverable from such other source.
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Accidental Medical Expenses means medical and surgical expenses (after deduction of any sums recovered or recoverable from all other sources) reasonably and necessarily incurred within twelve (12) months of bodily injury and paid by the Insured Person to a legally qualified medical practitioner, dentist or hospital for treatment of bodily injury but excluding the cost of dental treatment unless such treatment is for injury to sound and natural teeth.
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Examples of Accidental Medical Expenses in a sentence

  • Accidental Medical Expenses shall not be payable for more than 12 months calculated from the date of Accident and in no case shall exceed the limit in that Period of Insurance in which the Injury occurs.

  • If the Insured Person sustains death or Injury caused by suffocation by smoke, gas, poisonous fumes or drowning, provided that such event does not arise as a result of the Insured Person’s wilful and intentional act, We will pay up to the limit specified in the Schedule under Section 1 (Accidental Death) or Section 2 (Accidental Medical Expenses) of this Policy, but not for both sections.

  • EXTENSIONS (1) Food PoisoningIf the Insured Person suffers from food poisoning and requires medical treatment, We will pay up to the limit specified in the Schedule under Section 2 (Accidental Medical Expenses) of this Policy.

  • If the Insured Person sustains death or Injury during the course of peacetime reservist training within Singapore, We will pay up to the limit specified in the Schedule under Section 1 (Accidental Death) or Section 2 (Accidental Medical Expenses) of this Policy, but not for both Sections.

  • If the Insured Person suffers death or Injury caused by strike, riot, civil commotion, kidnap, hijack, murder or assault, We will pay up to the limit specified in the Schedule under Section 1 (Accidental Death) or Section 2 (Accidental Medical Expenses) of this Policy, but not for both sections, provided such death or Injury does not arise out of or in connection with the Insured Person’s participation, collaboration or provocation of any such act.

  • The clause is applicable for claims under Accidental Medical Expenses (Medex).

  • In the event that the Insured Person, who is a Child or an Adult at the commencement of the Period of Insurance, sustains an Injury caused by an Accident when participating in any sports in a non-professional capacity during the Period of Insurance, the Sum Insured on Part A – Core Cover, Section 2 Accidental Medical Expenses will be increased by an extra twenty-five percent (25%).

  • For the sake of clarity, the payable amount of this benefit is an extra cash benefit in addition to the Section 2 Accidental Medical Expenses benefit.

  • In no event shall all the reimbursed medical expenses exceeding the Sum Insured of Accidental Medical Expenses for any one Accident stated in the Schedule of Benefits.

  • For sections - Accidental Medical Expenses, Accidental Hospitalisation and Hospital Cash Allowance, we will make payment for expenses incurred in India & in Indian rupees only.


More Definitions of Accidental Medical Expenses

Accidental Medical Expenses means medical and surgical expenses (after deduction of any sums recovered or recoverable from all other sources) reasonably and necessarily incurred within twelve (12) months of bodily injury and paid by the Insured to a legally qualified medical practitioner, dentist or hospital for treatment of bodily injury but excluding the cost of dental treatment unless such treatment is for injury to sound and natural teeth. SPECIAL PROVISIONS 1. DisappearanceIt will be presumed that death has occurred if the Insured has been missing for twelve (12) consecutive months and the Company has examined all available evidence provided to support the conclusion that death was caused by an accident covered by this Policy. If at any time after payment has been made by the Company for such claim, the Insured is found to be living, full refund shall be made to the Company. 2. ExposureIf as a result of an accident covered by this Policy, the Insured is unavoidably exposed to the natural elements and as a result of such exposure suffers any loss as specified in this Policy, such specific loss will be covered subject to the terms of this Policy. 3. No Claim DiscountIn the event of no claim being made or arising under this Policy during a period of insurance specified below immediately preceding the renewal of this Policy, the renewal premium shall be reduced as follow: Period of InsuranceDiscountThe preceding year10%The preceding TWO consecutive years15%The preceding THREE or consecutive years20%The No Claim Discount under this Policy will be forfeited in the event of a claim having been made under this Policy and the qualification commences a new from the next renewal date. EXCLUSIONS The Company shall not be liable for claims directly or indirectly caused by or which results from:- 1. The Insured engaging in or taking part in:-
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Related to Accidental Medical Expenses

  • 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.

  • 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:

  • Incidental Expenses means those expenses incidental to the performance of construction pursuant to an Interconnection Construction Service Agreement, including, but not limited to, the expense of temporary construction power, telecommunications charges, Interconnected Transmission Owner expenses associated with, but not limited to, document preparation, design review, installation, monitoring, and construction-related operations and maintenance for the Customer Facility and for the Interconnection Facilities.

  • Health care expenses means, for purposes of Section 14, expenses of health maintenance organizations associated with the delivery of health care services, which expenses are analogous to incurred losses of insurers.

  • Emergency Medical Technician (EMT means: an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model.

  • Emergency medical technician means a person who is either an EMT-I, EMT-II, or EMT-P (paramedic), and possesses a valid certificate or license in accordance with the standards of Division 2.5 (commencing with Section 1797) of the Health and Safety Code.

  • Operational Expenses means expenses of the clerk of court used to maintain the clerk's office and includes, but is not limited to, (i) computer support, maintenance, enhancements, upgrades, and replacements and office automation and information technology equipment, including software and conversion services; (ii) preserving, maintaining, and enhancing court records, including, but not limited to, the costs of repairs, maintenance, consulting services, service contracts, redaction of social security numbers from certain records, and system replacements or upgrades; and (iii) improving public access to records maintained by the clerk, including locating technology in an offsite facility for such purposes or for implementation of a disaster recovery plan.

  • Routine Patient Costs means all health care services that are otherwise covered under the Group Contract for the treatment of cancer or other Life-threatening Condition that is typically covered for a patient who is not enrolled in an Approved Clinical Trial.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Accident/Accidental means an event or incident that occurs which is unforeseen and unexpected which resulted directly in the death or injury of the Person Covered.

  • Travel Expenses means any costs incurred by Licensor associated with the transportation, storage or lodging of equipment, supplies, Licensor employees and other items necessary for business use from Licensor headquarters to Licensee’s facilities. Travel expenses may include, but are not limited to airfare, hotel costs, and meals if applicable. Any travel expenses paid by the Licensee shall be paid at allowable government travel rates consistent with Management Directive 230.10, unless otherwise first approved by the Licensee’s authorized representative.

  • Legal Expenses means the fees, costs and expenses of any kind incurred by any Person indemnified herein and its counsel in investigating, preparing for, defending against or providing evidence, producing documents or taking other action with respect to any threatened or asserted Claim.

  • Dental hygienist means an individual licensed under this chapter to practice as a dental hygienist.

  • Medical supplies means items for medical use that are suitable for use in a health care facility or in the home and that are disposable or semi-disposable and are non-reusable.

  • Medical Foods means any nutritional substances in any form that are:

  • Dental therapist means an individual licensed to practice as a dental therapist under this chapter.

  • Accidental Bodily Injury means an Injury sustained as the result of an Accident and independently of all other causes by an outside traumatic event or due to exposure to the elements.

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Medical malpractice insurance means insurance against legal liability incident to the practice and provision of a medical service other than the practice and provision of a dental service.

  • Medical Reimbursement Programs means a collective reference to the Medicare, Medicaid and TRICARE programs and any other health care program operated by or financed in whole or in part by any foreign or domestic federal, state or local government.

  • medical food means a food that is intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation and is formulated to be consumed or administered enterally under the direction of a Practitioner.

  • local expenditures means expenditures in the currency of the Borrower or for goods or services supplied from the territory of the Borrower; and

  • Health professional shortage area means that term as defined in section 332(a)(1) of subpart II of part C of title III of the public health service act, chapter 373, 90 Stat. 2270, 42 U.S.C. 254e.

  • Dental means of or relating to the teeth and the work of a dentist.

  • Insured Expenses Expenses covered by an Insurance Policy or any other insurance policy with respect to the Mortgage Loans.

  • Qualified rehabilitation expenditures means capital