Reasonable and Customary Charges definition

Reasonable and Customary Charges means the charges for services or supplies, which are the standard charges for the specific provider and consistent with the prevailing charges in the geographical area for identical or similar services, taking into account the nature of the illness / injury involved.

Reasonable and Customary Charges means expenses which:

Reasonable and Customary Charges means an expense which:

Examples of Reasonable and Customary Charges in a sentence

• Wellness Provision: Benefits are payable at 100% of the Reasonable and Customary Charges, not subject to the deductible, for the following wellness services: one (1) routine physical examination per calendar year (including any routine laboratory and/or x-ray services incurred in connection with the routine examination); one (1) routine pap test per calendar year; one (1) routine mammogram per calendar year; and one (1) routine Prostate Specific Antigen (PSA) test per calendar year.

• The Optional Benefit covers Reasonable and Customary Charges incurred towards the medical treatment taken by the Insured Person during the Policy Period for an Illness, Injury or conditions described in the sections below, if it is contracted or sustained by an Insured Person during the Policy Period.

• We will indemnify the Reasonable and Customary Charges for Medical Expenses incurred on the Insured Person’s Medically Necessary and Medically Advised Inpatient Hospitalization during the Policy Period on treatment taken under Ayurveda, Unani, Sidha and Homeopathy (AYUSH) in a government Hospital or in any institute recognized by government and/or accredited by Quality Council of India/National Accreditation Board on Health.

• Ambulance Charges We will reimburse the Reasonable and Customary Charges incurred up to the limit specified in the Policy Schedule for this Extension towards transportation of the Insured Person by a vehicle operated by a licensed / authorised service provider and equipped for the transport and paramedical treatment of the person requiring medical attention to a Hospital for treatment of an Injury/death following an Accident.

• CALENDAR YEAR MAXIMUM (for all Class I, II & III Expense) $2,500 Per Person ORTHODONTIC LIFETIME MAXIMUM (for all Class IV Expenses) $1,000 Per Person SUMMARY OF COVERAGE CLASS I PREVENTIVE & DIAGNOSTIC - 100% of Reasonable and Customary Charges.

More Definitions of Reasonable and Customary Charges

Reasonable and Customary Charges means charges for medical care which is medically necessary shall be considered reasonable and customary to the extent that it does not exceed the general level of charges being made by others of similar standing in the locality where the charge is incurred, when furnishing like or comparable treatment, services or supplies to individual of the same sex and of comparable age for a similar sickness, disease or injury and in accordance with accepted medical standards and practice could not have been omitted without adversely affecting the Insured Person’s medical condition.

Reasonable and Customary Charges means charges based

Reasonable and Customary Charges means usual amount charged for treatment, supplies or medical services in the locality where such expense is incurred and does not include charges that would not have been made if no insurance existed.

Reasonable and Customary Charges means charges that are, as determined by Us, comparable to other charges for the same service and level of expertise in the place where the Emergency took place.

Reasonable and Customary Charges means charges commonly used by Physicians in the locality in which care is furnished.

Reasonable and Customary Charges means charges for medical care which shall be considered by the Company or its medical advisers to be reasonable and customary to the extent that they do not exceed the general level of charges being made by others of similar standing in the locality where the charges are incurred when giving like or comparable treatment, services or supplies to individuals of the same sex and of comparable age for a similar disease or Illness or Injury. Any scales of charges which may be agreed from time to time between the Company and Hospitals and Doctors shall also be indicative of such Reasonable and Customary Charges.

Reasonable and Customary Charges means charges for healthcare which We consider to be reasonable and customary if they are within a general level of charges being made by other healthcare providers of similar standing in the locality where the charges are incurred when giving like or comparable treatment, services or supplies to individuals of the same gender and of comparable age for a similar disease or injury.