COVERED HEALTHCARE SERVICES definition

COVERED HEALTHCARE SERVICES means any service, treatment, procedure, facility, equipment, drug, device, or supply that we have reviewed and determined is eligible for reimbursement under this plan.
Sample 1Sample 2Sample 3

Examples of COVERED HEALTHCARE SERVICES in a sentence

  • COVERED HEALTHCARE SERVICES means any service, treatment, procedure, facility, equipment, drug, device, or supply that we have reviewed and determined is eligible for reimbursement under this plan.

  • ANY CONTRACTING PROVIDER THAT PROVIDES COVERED HEALTHCARE SERVICES TO COVERED PERSONS OF THE CARRIER UNDER A MANAGED CARE CONTRACT SHALL, IN THE EVENT OF NONPAYMENT FOR SUCH SERVICES, HAVE LEGAL STANDING TO ENFORCE THE MANAGED CARE CONTRACT AGAINST THE CARRIER AND RECEIVE PAYMENT FOR SUCH SERVICES.

Related to COVERED HEALTHCARE SERVICES

  • PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Health care provider or "provider" means: