Maximum Eligible Expense definition

Maximum Eligible Expense or “MEE” means the maximum amount considered for payment by this Plan for any covered treatment, service, or supply, subject however, to all Plan annual and lifetime maximum benefit limitations. The following criteria will apply to determination of the Maximum Eligible Expense:
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Examples of Maximum Eligible Expense in a sentence

  • The Maximum Eligible Expense, when reduced by any coinsurance amount, will equal the Benefit Period Maximum outlined under Paramedical Services on the Schedule of Benefits.

Related to Maximum Eligible Expense

  • Eligible Expense means the lesser of the reasonable, customary, usual, fair market value charge for a covered service or the provider's actual charge.

  • Eligible Expenses means expenses incurred for Medical Services rendered with respect to a Disability.

  • Maximum Basic Grant Amount’ has the same meaning as set out in item 1 of Schedule 1 of HESA;

  • Base Year Value means the assessed value of eligible property January 1 preceding the execution of the agreement plus the agreed upon value of eligible property improvements made after January 1 but before the execution of the agreement.

  • Allowable Expense means a necessary, reasonable and customary item of expense for health care, which is: