Covered Expense definition
Covered Expense means expense incurred only for the following:
Covered Expense means expense incurred for services and supplies: (a) listed below; and (b) ordered or prescribed by a Legally Qualified Physician as Medically Necessary for diagnosis or treatment; which is limited to:
Covered Expense means a Usual and Customary fee for a Reasonable, Medically Necessary service, treatment or supply, meant to improve a condition or participant’s health, which is eligible for coverage in this Plan. Covered Expenses will be determined based upon all other Plan provisions. When more than one treatment option is available, and one option is no more effective than another, the Covered Expense is the least costly option that is no less effective than any other option.
Examples of Covered Expense in a sentence
In addition, you will continue to pay any charges billed by an Out-of-Network Provider in excess of the Maximum Allowable Amount or Prescription Drug Covered Expense.
The Coinsurance listed above is based on the Prescription Drug Covered Expense.
More Definitions of Covered Expense
Covered Expense means a medically necessary service or supply which is usual, customary and reasonable, and which is listed for coverage in this Plan.
Covered Expense has the meaning set forth in Section 8.4.
Covered Expense means a Usual and Customary fee for a Reasonable, Medically Necessary service, treatment, or supply, meant to improve a condition or participant’s health, which is eligible for coverage in this Plan. Covered Expenses will be determined based upon all other Plan provisions. When more than one treatment option is available, and one option is no more effective than another, the Covered Expense is the least costly option that is no less effective than any other option. All treatment is subject to benefit payment maximums shown in the Summary of Benefits and as determined elsewhere in this document.
Covered Expense means Reasonable Expenses in excess of the Government Health Insurance Plan of the Canadian province or territory in which You reside, any other Insurance Plan with the same or similar coverage provided under this policy, or any private or provincial or territorial Auto Insurance Plan for supplies, treatment or services listed in The Benefits section subject to policy limitations.
Covered Expense means expenses actually incurred by or on behalf of a Participant for treatment, services and supplies covered by the Plan. An Eligible Medical Expense is deemed to be incurred on the date such treatment, service or supply, that gave rise to the expense or the charge, was rendered or obtained.
Covered Expense means any expense which is covered by at least one Coordinating Plan during a Claim Period. Where a Coordinating Plan provides benefits in the form of a service rather than cash payments, the reasonable cash value of the service during a Claim Period will also be considered a Covered Expense.
Covered Expense means a charge for a service or supply allowable under the applicable Benefit Plan.