Covered service definition

Covered service means a health care service provided to a

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Covered service means a service as defined in the state plan or approved waiver, Minnesota Statutes, §256B.0625, et seq., and Minnesota Rules, Parts 9505.0170 through 9505.0475, and as applicable, Minnesota Statutes, §256S, and that is provided in accordance with the MCO’s Service Delivery Plan and the MCO Enrollee Handbook, as approved by the STATE.

Covered service means credited service acquired in a covered position.

Examples of Covered service in a sentence

• A Company is only responsible for performing its respective obligations hereunder with respect to a particular Product, Coverage Agreement, Payor Contract, Covered Service or Covered Person.

• During such suspension, the Contracted Provider shall, as directed by ▇▇▇▇▇▇▇▇ Complete, discontinue the provision of all or a particular Covered Service to Covered Persons.

• Consistent with utilization management, or unless otherwise set forth by statute, regulation or the Health Benefit Plan, when a Plan requires prior authorization for a Covered Service, the provider who recommends or orders such Covered Service shall have sole responsibility for obtaining the required authorization.

• Participating Provider agrees to hold the Covered Person harmless for charges for any Covered Service.

• Provider agrees to hold the Covered Person harmless for charges for any Covered Service.

More Definitions of Covered service

Covered service means Medically Necessary services or supplies provided in accordance with the terms of this Agreement other than Covered Dental Services or Covered Vision Services.

Covered service means a service for which benefits are provided under a health plan that provides coverage for vision care or eye care services or a limited benefit vision insurance plan. [PL 2015, c. 171, §1 (NEW); PL 2015, c. 171, §4 (AFF).]

Covered service. A service or supply specified in this Contract for which Benefits are available when rendered by a Provider. Crown – A tooth-shaped cap that is placed over a tooth to cover it and restore its shape and size, strength, and improve its appearance. When a crown is cemented into place, it fully encases the entire visible portion of a tooth that lies at and above the gum line. Deductible – The dollar amount, if shown in the Schedule of Dental Benefits, of Allowable Charges for Covered Services that each Member must pay within a Benefit Period before payments are made under this Contract. If shown in the Schedule of Benefits, the Deductible may be waived for certain services. Dental Care and Treatment – All procedures, treatment, and surgery considered to be within the scope of the practice of dentistry, which is defined as that practice in which a person:

Covered service means a service provided by a health care

Covered service means a dental service for which reimbursement is available under a covered individual’s dental insurance plan or health insurance plan or for which reimbursement would be available but for the application of contractual limitations such as deductibles, co-payments, coinsurance, waiting periods, annual or lifetime maximums, frequency limitations, alternative benefit payments, or other limitations.

Covered service means a health care service provided to a covered person under a health benefits plan for which the carrier is obligated to pay benefits or provide services.

Covered service or "Covered benefit" means those health care services to which a beneficiary is entitled under the terms of the health benefit plan.