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

• For example: Assume exception 1, 2 or 3 applies to the Insured Person, and he/she is billed for $100 of Covered Expense.

• BenefitsThis Benefits section shows the maximum Covered Expense for each type of provider.

• A Covered Expense is deemed to be incurred on the date treatment, service or supply that gave rise to theexpense or the charge, was rendered or obtained.In no event will the Company’s total payments for the InsuredPerson exceed the Total Maximum for all Accident Medical Benefits shown in the Schedule of Benefits.Other Exclusions that apply to this Benefit are in the Common Exclusions Section.Medically Necessary: means medical services that:1.

• Orthopedic does not include a cancer or a metabolic, hemopoietic, or autoimmune disease.y. Per Incident Limit is the maximum We will reimburse You for a Covered Expense for each Incident with an Onset date within the Coverage Period.

• COINSURANCE – your share of the costs of a Covered Expense, calculated as a percent of the allowed amount.

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 8.3.

Covered Expense means the medical, prescription drug, dental, or vision services and supplies shown as covered under the plan, including any applicable sales, excise, or other taxes.

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 expenses actually incurred by or on behalf of a Covered Person for treatment, services and supplies covered by the Policy. 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 expense incurred for services and supplies: (a) listed below; and

Covered Expense means only the expense incurred, or portion of such expense, for Medical Care, services, or supplies which: