Covered Services means all or a part of those medical and health services set forth in rule 441—86.14(514I).
Covered Services means Medically Necessary health care items and services covered under a Benefit Plan.
Covered Services means the services, supplies, or accommodations for which the Plan provides Benefits.
Examples of Covered Services in a sentence
If you receive both Preventive Health Services and other Covered Services during the Physician office visit, you may have a Copayment or Coinsurance for the visit.
Each time you receive multiple Covered Services, you might have separate payments (Copayment or Coinsurance) for each service.
The Out-of-Pocket Maximum is the most you are required to pay for Covered Services in a Calendar Year.
KFHPWA shall have no other liability or obligation if Covered Services are delayed or unavailable due to unusual circumstances.
In the event of unusual circumstances such as those described above, KFHPWA will make a good faith effort to arrange for Covered Services through available Network Facilities and personnel.
More Definitions of Covered Services
Covered Services means medically necessary mental health and substance abuse care as defined under the terms of the Program, except to the extent that such care is otherwise limited or excluded under the Program.
Covered Services means, except as otherwise provided in the Member’s benefit plan, a complete and routine eye examination including, but not limited to, visual acuities, internal and external examination, (including dilation where professionally indicated,) refraction, binocular function testing, tonometry, neurological integrity, biomicroscopy, keratometry, diagnosis and treatment plan, and when authorized by state law and covered by a Plan, medical eye care, diagnosis, treatment and eye care management services, and when applicable, ordering and dispensing plan eyeglasses from a DAVIS laboratory.
Covered Services means the health services, supplies and accommodations for which HPN pays benefits under this Plan.
Covered Services means those medically necessary health care services and supplies that a Payer has contracted to pay for and provide to Covered Persons.
Covered Services means services for which reimbursement
Covered Services means dental care services for which a reimbursement is available under an enrollee's plan contract, or for which a 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 any other limitation.
Covered Services means mental health and substance abuse treatment services reimbursable based on provisions of the Medicaid state plan and paid through the fee-for-service payment system administered by the Iowa Medicaid enterprise.