Non-Covered Medical definition

Non-Covered Medical means medical expenses and needs that are not otherwise covered by insurance or covered through other tribal, state or federal benefits, including, but not limited to, in-home professional care from nurses, therapists or licensed care givers; extended nursing home stays; day care; hospice care; vision care; dental care; durable medical equipment; non- prescription drugs, transportation, meals and lodging for medical care away
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Examples of Non-Covered Medical in a sentence

  • Typical examples of authorized assistance include: Transportation Assistance; Non-Covered Medical Assistance; In-Home Services; Shelter Costs, and; Educational Costs.

  • Non-Covered Medical Expenses (NCME) include the following effective January 1, 2019.

  • Non-Covered Medical ExpensesExpenses recognized by state law as medical expenses, but not covered by the Medicaid program or a third-party payer.

  • DHHS Form 235 is the Request for Approval of Non-Covered Medical Expenses.

  • Non-Covered Medical Expense Deductions Explanation of Data Fields (Cont’d.) Amount Billed for Item/Service Enter the total charges for the item and/or services billed to the resident.

  • Non-covered drugs must additionally meet Non-Covered Medical Necessity Guidelines.

  • The decision simply stated that “[p]er the SPD, applied 5 behavioral therapy is a non-covered benefit.” 6 On April 15, 2017, Banner Health provided clarification regarding its denial 7 of ABA therapy, stating “the denial was based on the specific exclusion for ABA therapy, 8 which is found on the list of Non-Covered Medical Services in Part 5 of the Banner Plan 9 SPD, a copy of which has been provided to Dr. Etter.

  • Non-Covered Medical Expense Deductions This page was intentionally left blank.

  • These services include: • Meals on Wheels• In-Home Services• Chore Services• Healthy Aging and Wellness Activities• Crisis Services• Non-Covered Medical Needs• Information & Assistance Services• Legal Services ALTERNATIVESThere is currently a waitlist for TCOA services and the 60 and older population in Ingham County is growing.

  • Form DOM-339, Statement Regarding Payment of Health Insurance Premiums and Non-Covered Medical Expenses, will be used in conjunction with the client's own records, to verify payment of a health insurance premium.

Related to Non-Covered Medical

  • Non-Covered Services means those vision care services which are not Covered Services under Plan Contract(s).

  • Emergency Medical Technician (EMT means: an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model.

  • Qualified medical provider means the same as that term is defined in Section 26-61a-102.

  • Medical means belonging to the study and practice of medicine for the prevention, alleviation or management of a physical or mental defect, illness, or condition.

  • Emergency medical technician means a person who is either an EMT-I, EMT-II, or EMT-P (paramedic), and possesses a valid certificate or license in accordance with the standards of Division 2.5 (commencing with Section 1797) of the Health and Safety Code.

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Emergency medical service means [initial emergency medical

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Primary care physician means a physician who is a family

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Durable medical equipment means equipment which:

  • Emergency medical services personnel means that term as defined in section 20904 of the public health code, 1978 PA 368, MCL 333.20904.

  • Non-Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Medical equipment means equipment used in a patient care environment to support patient treatment and diagnosis.

  • Advanced emergency medical technician or “AEMT” means an individual who has successfully completed a course of study based on the United States Department of Transportation’s Advanced Emergency Medical Technician Instructional Guidelines (January 2009), has passed the psychomotor and cognitive examinations for the AEMT, and is currently certified by the department as an AEMT.

  • Retiree means any person who has begun accruing a retirement

  • Qualified Medical Child Support Order means a Medical Child Support Order which creates (including assignment of rights) or recognizes an Alternate Recipient's right to receive benefits to which a Participant or Qualified Beneficiary is eligible under this Plan, and has been determined by the Plan Administrator to meet the qualification requirements as outlined under “Procedures” of this provision.

  • Family and Medical Leave means a leave of absence for the birth, adoption or foster care of a child, or for the care of your child, spouse or parent or for your own serious health condition as those terms are defined by the Federal Family and Medical Leave Act of 1993 (FMLA) and any amendments, or by applicable state law.

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • Emergency medical services or “EMS” means an integrated medical care delivery system to provide emergency and nonemergency medical care at the scene or during out-of-hospital patient transportation in an ambulance.

  • Authorized medical physicist means an individual who:

  • Health means physical or mental health; and

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Medical service means any medical treatment or any medical, surgical, diagnostic, chiropractic, dental, hospital, nursing, ambulances, and other related services, and drugs, medicine, crutches and prosthetic appliances, braces and supports and where necessary, physical restorative services.