Covered Medical Expenses means reasonable charges which are: 1) not in excess of the maximum benefit amount payable per service as specified in the Schedule of Benefits; 2) made for services and supplies not excluded under the Certificate; 3) made for services and supplies which are a Medical Necessity; 4) made for services included in the Schedule of Benefits; and 5) in excess of the amount stated as a deductible, if any.
Covered Medical Expenses means the Reasonable and Customary charges for expenses ordered by a Physician and incurred by a covered person for Medically Necessary services and supplies required for the treatment of a non-occupational Accident or Sickness.
Covered Medical Expenses means reasonable charges which are usual and Customary, incurred for services and supplies for any sickness/illness or covered Accident to the Insured Person.
Examples of Covered Medical Expenses in a sentence
Covered Medical Expenses are necessary services and supplies that are recommended by the attending Physician.
DEDUCTIBLE means if an amount is stated in the Schedule of Benefits or any endorsement to the Policy as a deductible, it shall mean an amount to be subtracted from the amount or amounts otherwise payable as Covered Medical Expenses before payment of any benefit is made.
Services, supplies, drugs and devices for the treatment of Illness, Injury and/or complications resulting from services that are not Covered Medical Expenses, except for any services, supplies, drugs and devices which are Routine Patient Costs incurred in connection with an Approved Clinical Trial.
Donor costs that are directly related to organ removal are Covered Medical Expenses for which benefits are payable through the Insured organ recipient’s coverage under the Policy.
Covered Medical Expenses incurred as a result of an injury that occurred prior to the Policy’s Effective Date will be considered a Sickness under the Policy.
More Definitions of Covered Medical Expenses
Covered Medical Expenses means a Reasonable and Customary Charge for a Reasonable, Medically Necessary service, treatment or supply, meant to improve a condition or Covered Person’s health, which is eligible for coverage under this Plan. Covered Expenses will be determined based upon all other Plan provisions.
Covered Medical Expenses means expenses incurred by or on behalf of an Insured Person for medical treatment, services and supplies covered by the Policy for Injury due to an Accident while coverage is in effect. A Covered Expense is deemed to be incurred on the date such medical treatment, services and supplies that gave rise to the expense or charge was rendered or incurred.
Covered Medical Expenses means reasonable charges which are: 1) not in excess of Usual and Customary Charges; 2) not in excess of the maximum benefit amount payable per services as specified in the Schedule of Benefits; 3) made for services and supplies not excluded under this policy; 4) made for services and supplies which are Medical Necessity; 5) made for services included in the Schedule of Benefits; and 6) in excess of the amount stated as a Deductible, if any.
Covered Medical Expenses means, subject to the Maximum Annual Benefit, the reasonable expenses for necessary medical care which:
Covered Medical Expenses include charges which are usual, customary and reasonable for medically necessary service, (hospital, physicians, psychiatric, chiropractic and other required services and supplies). GROUP INSURANCE (cont.') Retirees under sixty-five (65) and their dependents will be covered by the Group Comprehensive Medical Insurance Plan, and the Company will pay the premium for Retirees and their dependents for the first year following retirement. After this first year, retirees and their dependents will be eligible to receive medical insurance benefits from the UNITIL Retiree Trust. Active employees and retirees sixty-five (65) years or over will be covered by a supplement to Medicare Plan paid for by the Company. The eligible dependents (age 65 or over) of these active employees and retirees sixty-five (65) or over will also be covered by the Supplemental to Medical Plan with full premium paid for by the Company. The Company will pay the premium for the retirees and their dependents for the first year following retirement. After this first year, retirees and their dependents will be eligible to receive medical insurance benefits from the UNITIL Retiree Trust. Group Dental Plan Group Dental Care Insurance is provided for employees and their eligible dependents and is briefly outlined as follows: Deductible There is one $25.00 deductible per person per Calendar Year with a maximum of $75.00 per family each calendar year. This deductible does not apply to Coverage I and IV benefits, but does apply to Coverage II and III benefits. Coverage I - Diagnostic and Preventative, 100% Payment. Diagnostic Initial Examination; Examinations to determine the required dental treatment two times in a calendar year; Full Mouth/Panorex X-Rays once in a three (3) year period; Bitewing X-Rays twice in a calendar year; X-Rays of individual teeth as necessary. Preventative Cleanings two (2) times in a calendar year; Fluoride - twice in a calendar year (age limit 19) Space Maintainers. Coverage II - Restorative, after deductible, 80% paid by insurance, 20% paid by patient.
Covered Medical Expenses means the reasonable and customary charges, as determined by the health insurance carrier, incurred by you or a dependant for the following . . . . Also, these services and supplies must be . . . (b) medically necessary in terms of generally accepted medical standards. (Art. 21, Sec. 2, p. 49.)
Covered Medical Expenses means medical Expenses Incurred by or on behalf of a Covered Person that are attributable to the Covered Person's Injury, Illness, accident or condition for which there is or was a Responsible Third Party.