Insured patient definition

Insured patient or "insured" means a patient covered under a health care plan.
Sample 1Sample 2Sample 3
Insured patient means a patient with health insurance and/or any third party payor program which reimburses for medical expenses. Patients who have a claim denied for pre-existing conditions or benefit maximums reached are not deemed insured for purposes of this policy.
Sample 1Sample 2Sample 3
Insured patient means a patient who is insured by a
Sample 1Sample 2Sample 3

Examples of Insured patient in a sentence

  • Costs of services that are not provided for the direct clinical management of the Insured patient.

  • If the provider fails to meet compliance within thirty (30) days or file a “Plan of Compliance” within twenty (20) days with the Region, the provider shall be dis-enrolled from the Regional Behavioral Health Network.

  • No benefits will be provided for non-FDA approved drugs provided or made available to an Insured patient who received the drug during a Covered Clinical Trial after the clinical trial has been discontinued.

  • A patient who is represented by an attorney seeking third-party liability coverage for services rendered will be considered an Insured patient until the pending litigation is finalized, and therefore is not eligible for Financial Assistance.

  • The notice must have sufficient information to be able to identify the Insured patient.

  • All medial and Hospital bills, along with the name of the Insured patient, the Named Insured’s address, SRID number, and name of the Policyholder should be mailed to the Company at P.

  • Prior to undertaking the treatment from non-penal hospital, the Patient will inform the Focal Person of the Company about the hospitalization in writing, in a manner to properly identify the Insured patient, except in case of medical emergencies in which case such intimation shall be given at the earliest.

  • Diabetes Mellitus was shown as the Pre-existing Disease (PED) in the policy and DM and its complications were excluded from the Policy.2) The Insured patient, Mrs.

  • Insured patient unable to pay for portion of the bill due to uncollected co- payments, deductibles and non-covered services.

  • Insured patient – Estimated patient responsibility based upon insurance benefits to include deductible, coinsurance, copayment or non-covered service.


More Definitions of Insured patient

Insured patient means a patient who is insured by a health care plan.
Sample 1Sample 2Sample 3

Related to Insured patient

  • Insured Persons means the person/s named in the Schedule to the Policy, who is/are Resident Indian/s and for whom the insurance is also proposed and appropriate premium paid.

  • Medical malpractice insurance means insurance against legal liability incident to the practice and provision of a medical service other than the practice and provision of a dental service.

  • Reinsured Policies has the meaning assigned to it in the Reinsurance Agreement.

  • Insured Property means the vessel, including the power units, accessories and equipment. “Parasailing” means using your vessel to tow a person in a device designed for flight. “Waterskiing” means using your vessel to tow a person on water skis or flotation devices.

  • Hazard Insurance A fire and casualty extended coverage insurance policy insuring against loss or damage from fire and other perils covered within the scope of standard extended hazard coverage naming the Servicer, its successors and assigns, as a mortgagee under a standard mortgagee clause, together with all riders and endorsements thereto.

  • Insured Person s year” means a year from the date of commencement of the insured person’s policy, or from the anniversary date of the commencement of the insured person.

  • Insurance Provider s Tender” means the completed Tendering Document submitted by the Insurance Provider to the Procuring Entity

  • Hazard Insurance Policy means, with respect to each Contract, the policy of fire and extended coverage insurance (and federal flood insurance, if the Manufactured Home is secured by an FHA/VA Contract and such Manufactured Home is located in a federally designated special flood area) required to be maintained for the related Manufactured Home, as provided in Section 5.09, and which, as provided in said Section 5.09, may be a blanket mortgage impairment policy maintained by the Servicer in accordance with the terms and conditions of said Section 5.09.

  • Insurance carrier means every insurance carrier duly

  • Flood Insurance Study (FIS means an examination, evaluation, and determination of flood hazards, corresponding water surface elevations (if appropriate), flood hazard risk zones, and other flood data in a community issued by the FEMA. The Flood Insurance Study report includes Flood Insurance Rate Maps (FIRMs) and Flood Boundary and Floodway Maps (FBFMs), if published.

  • Standard Hazard Insurance Policy means a fire and casualty extended coverage insurance policy in such amount and with such coverage as required by this Agreement.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Health care insurer means a disability insurer, group

  • Self-insured retention means the individual own risk employer's or group self-insurance association's retained amount of risk under a specific excess insurance policy, before the liability is transferred to an insurance carrier.

  • group insurance means insurance, other than creditor’s group insurance and family insurance, whereby the lives of a number of persons are insured severally under a single contract between an insurer and an employer or other person; (“assurance collective”)

  • Insured Premises means the place named in the Schedule.

  • Health insurance carrier or "carrier" means any entity subject to the insurance

  • Flood Insurance Study means the official report provided by the Federal Insurance Administration that includes flood profiles, the Flood Insurance Rate Map, the Flood Boundary and Floodway Map, and the water surface elevation of the base flood.

  • Insured Casualty has the meaning set forth in Section 5.1(x)(iv)(B).

  • Health-care-insurance receivable means an interest in or claim under a policy of insurance which is a right to payment of a monetary obligation for health-care goods or services provided.

  • Self-insured employer means an employer or group of employers certified under ORS

  • National Flood Insurance Program means the program created by the U.S. Congress pursuant to the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973, as revised by the National Flood Insurance Reform Act of 1994, that mandates the purchase of flood insurance to cover real property improvements located in Special Flood Hazard Areas in participating communities and provides protection to property owners through a Federal insurance program.

  • Insurance means (i) all insurance policies covering any or all of the Collateral (regardless of whether the Collateral Agent is the loss payee thereof) and (ii) any key man life insurance policies.

  • Disease means an alteration in the state of the body or of some of its organs, interrupting or disturbing the performance of the functions, and causing or threatening pain and weakness or physical or mental disorder and certified by a Medical Practitioner.

  • Insureds Premises Not An "Insured Location" "Bodily injury" or "property damage" arising out of a premises:

  • Special Hazard Coverage The Special Hazard Coverage on the most recent anniversary of the Cut-Off Date (calculated in accordance with the second sentence of this paragraph) or, if prior to the first such anniversary, $4,614,259, in each case reduced by Special Hazard Losses allocated to the Certificates since the most recent anniversary of the Cut-Off Date (or, if prior to the first such anniversary, since the Cut-Off Date). On each anniversary of the Cut-Off Date, the Special Hazard Coverage shall be reduced, but not increased, to an amount equal to the lesser of (1) the greatest of (a) the aggregate principal balance of the Mortgage Loans located in the single California zip code area containing the largest aggregate principal balance of Mortgage Loans, (b) 1.0% of the aggregate unpaid principal balance of the Mortgage Loans and (c) twice the unpaid principal balance of the largest single Mortgage Loan, in each case calculated as of the Due Date in the immediately preceding month, and (2) $4,614,259 as reduced by the Special Hazard Losses allocated to the Certificates since the Cut-Off Date. The Special Hazard Coverage may be reduced upon written confirmation from the Rating Agencies that such reduction will not adversely affect the then current ratings assigned to the Certificates by the Rating Agencies (determined in the case of the Insured Certificates, without giving effect to the Certificate Insurance Policy).