Covered charges means billed charges that represent medically necessary, reasonable, and customary items of expense for covered services that meet medical review criteria of AHCCCS or a contractor.
Covered charges means the dollar amount a health care provider bills a Member or Wellmark for Covered Services in accordance with the terms of the Benefits Document.
Covered charges means eligible expenses that are incurred by the Insured Person for Medically Necessary services, supplies, care, or treatment for a Covered Diving Accident. The Accident must occur while Coverage is in force. Eligible expenses must be incurred within 365 days of the Accident. Medical services, supplies, care, or treatment must be prescribed, performed, or ordered by a Physician. Charges for such services, supplies, care, or treatment must be Reasonable and Customary and the Company will not pay for charges in excess of the Benefit Limit. Covered Charges include the following:
Examples of Covered charges in a sentence
Covered charges will be payable as shown in the applicable Schedule of Medical Benefits.
Covered charges at in-network and out-of-network providers are based on the allowable amount.
Covered charges will be payable in full under the network coverage if the admission is certified by OptumHealth.
Coinsurance is the percentage of Covered charges that you and your Covered Dependents must pay directly to the In-network Practitioner/Provider for Covered Services after the Annual Contract Year Deductible has been met.
Covered charges for care, supplies and treatment of a Mental Disorder including, but not limited to treatment for autism, ADD and ADHD.
More Definitions of Covered charges
Covered charges means billed charges that represent medi- cally necessary, reasonable, and customary items of expense for covered services that meet medical review criteria of AHC- CCS or a contractor.
Covered charges means billed charges that represent medically necessary, reasonable, and customary items of expense for Title XXI covered services that meet medical review criteria of the Administration or contractor.
Covered charges means the Allowable Expense for the Medically Necessary treatment of conditions covered under the Plan.
Covered charges means billed charges submitted to the department on a claim by the provider, less the noncov- ered charges indicated on the claim.
Covered charges means those Medically Necessary services or supplies that are covered under this Plan.
Covered charges means the reasonable and customary charges which are incurred for the medically necessary treatment of conditions that are covered under the Plan.
Covered charges means billed charges that represent medi- cally necessary, reasonable, and customary items of expense for Title XXI-covered services that meet medical review crite- ria of the Administration or contractor.