Covered Vision Services definition

Covered Vision Services means Medically Necessary services or supplies listed in Section 3 of the Description of Covered Services.

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Covered Vision Services means vision care services or vision care materials for which a reimbursement is available under an enrollee's health care contract, or for which a reimbursement would be available but for the application of contractual limitations such as a deductible, copayment, coinsurance, waiting period, annual or lifetime maximum, frequency limitation, alternative benefit payment, or any other limitation.

Covered Vision Services means the optical products and services provided to Members under this Agreement.

Examples of Covered Vision Services in a sentence

If Member is under age 19 at the start of the Benefit Period but turns 19 during the Benefit Period, then the Member will receive Covered Vision Services through the rest of that Calendar Year.
Covered Vision Services and benefits for services provided by Non-Contracting Vision Providers are limited.
When benefits for Covered Services, Covered Dental Services or Covered Vision Services are paid by Medicare as primary, this CareFirst BlueChoice Plan will not duplicate those payments.
CareFirst BlueChoice will honor claims submitted for Covered Services, Covered Dental Services, or Covered Vision Services by any agency of the federal, state, or local government that has the statutory authority to submit claims beyond the time limits established under this In-Network Agreement.
CareFirst will honor claims submitted for Covered Services, Covered Dental Services, or Covered Vision Services by any agency of the federal, state, or local government that has the statutory authority to submit claims beyond the time limits established under this Agreement.
When benefits for Covered Services, Covered Dental Services or Covered Vision Services are paid by Medicare as primary, this CareFirst Plan will not duplicate those payments.
When the Member receives Covered Vision Services from a Non-Contracting Vision Provider, the Member is responsible for the cost difference between the Vision Care Designee’s payment and the Non-Contracting Vision Provider’s actual charge.
If the Member has paid the Contracting Vision Provider for Covered Vision Services rendered, benefits will be payable to the Member.
If a Member is eligible to receive Covered Vision Services and has ordered frames and spectacle lenses or contact lenses before the date the Member’s coverage terminates, the Vision Care Designee will provide benefits for the frames and spectacle lenses or contact lenses if the Member receives the frames and spectacle lenses or contact lenses within thirty (30) days after the date of the order.
For Covered Services, Covered Dental Services or Covered Vision Services provided by Non-Contracting Providers, Non-Participating Dentists or Non-Contracting Vision Providers, Members must furnish written proof of loss, or have the provider submit proof of loss, to CareFirst BlueChoice within one (1) year after the date of the loss.

More Definitions of Covered Vision Services

Covered Vision Services means those vision care services selected by your plan to be considered as covered contingent upon current eligibility and plan limitations.

Covered Vision Services means those vision care services and benefits to which Members are entitled under the terms of the Plan CFAD pursuant to Plan’s CFAD Agreement. Covered Vision Services include services previously authorized by VSP and are the subject of a grievance procedure. The specific vision care services to be provided to the Member under the terms of the CFAD Program are described in the Evidence of Coverage and incorporated herein.