The list of medical services an insurance company or managed care organization will pay for. Also called "covered services."
Aggregate services specifically defined by an insurance policy or HMO that can be provided to patients. The services a payer offers to a group or individual. The package will specify include cost, limitation on the amounts of services, and annual or lifetime spending limits.
Services an insurer, government agency, health plan, or an employer offers under the terms of a contract.
The health care services that will be paid for under a health care insurance plan contract. Services not included in the benefit package selected by the purchaser will not be paid for by the insurer.
A collection of specific services or benefits that the HMO is obligated to provide under terms of its contracts with subscriber groups or individuals.
A set of health care services that a payer is legally obligated to pay for either by contract, law, or regulation. The package usually also specifies excluded services, limitations on covered services, and the means by which medical necessity is determined.
Services covered by a health insurance plan and the financial terms of such coverage. These include cost sharing, limitations on the amounts of services, and annual or lifetime spending limits.
Coverage/reimbursement for health care services an insurer, government agency, or health plan offers to a group or individual under the terms of a contract.
Contractually defined set of services in which the costs, in full or in part, are borne by the insurer.
all the benefits offered by an employee benefit plan.
The health services that the Blues offer to a group or individual.
A description of the overall benefits the insurer or health plan offers to those covered under the terms of a contract for health insurance.
A description of what services the insurer or health plan offers to those covered under the terms of a health insurance contract.
The services available to you through your health plan. The package will detail costs, limitations on the amounts of services, and annual or lifetime spending limits.
