an expense that's eligible for reimbursement by a health insurance plan
Any expense for dental services or products that are eligible for benefits.
Any expense for medical services or products that is eligible for benefits under your medical plan.
Health plans do not cover all types of medical treatment. For example, most do not cover cosmetic surgery and other treatment that is considered unnecessary for a patient's health. Read your insurance plan carefully to find out which medical procedures are covered and which are specifically excluded from the plan.
an expense that meets all the rules to be covered by a plan.
The portion of a physician's, health care practitioner's or facility's charge for a service that is payable by the health plan.
Health care services that meet the medical or dental plan's definition of eligible expenses. Some examples might be prenatal and postnatal care, physical therapy or x-ray and lab.
A medical procedure or item deemed payable by an insurance plan.
Includes only charges for services described, which are Medically Necessary and for which you are eligible up to any limits under your Plan. In the case of a Participating Provider, Covered Expense will be the negotiated fee. In the case of a non-Participating Provider, Covered Expense will be limited to the Usual, Customary & Reasonable fee.
An expense that will be reimbursed by the terms of the plan or insurance contract.
