Emergency medical care means such medical procedures as:
Medical care means amounts paid for:
Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.
Authorized medical physicist means an individual who:
COVERED DENTAL CARE SERVICES means any dental service, treatment, or procedure that we have determined is eligible for reimbursement under this plan. PREDETERMINATION is a procedure whereby you or your dentist sends us your treatment plan before treatment is rendered and we review to determine if a proposed treatment is covered under your plan. A predetermination is an estimate, not a guarantee of payment, and is based on your eligibility status and benefits at the time of the request. It is subject to change. In addition, predetermination also determines if a dental service is dentally necessary, or is medically necessary for an orthodontics service.