Covered expenses are expenses that are covered (paid for) either partially or fully by your plan.

Hospital, medical and miscellaneous health care expenses incurred by an insured person, which entitles him/her to a payment of benefits under the terms of a health plan.

Expenses incurred by a covered person who qualifies for reimbursement under the terms of a policy.

Most insurance plan will only pay for certain services. Covered expenses are those medical services that your insurance policy agrees to pay for.

Those specified health care expenses that an insurer will consider for payment under the terms of a health insurance policy. Back to the Top

Health care charges that an insurer will consider paying under the terms of a health insurance policy. Deductible Amount that must be paid by the insured before benefits will be paid by the insurer.

All medical services that are covered by an insurance policy. Some health insurance plans will have a list of medical services they do not cover. It would be wise to make sure you are not in need of any service excluded by any given health insurance plan.

Those specified health care expenses that a plan will consider for payment under the terms of the health insurance plan.

Only expenses for travel, food, lodging, and wage loss incurred by you for your required attendance at a disciplinary hearing or proceeding.

The losses or conditions the policy will pay for.

In a Business Overhead Expense policy, this is a listing of typical business expenses that are eligible to be reimbursed during an insured's disability. Examples: rent or mortgage payments, electricity, employee salaries.

the expenses that the Program covers. To be considered covered, an expense must qualify in two ways: The claims administrator must determine that the expense meets the definition of "medically necessary" for the specific illness or injury. Generally, this means that the charge must be for treatment that follows acceptable protocols, is required to treat an illness or injury, is prescribed by a qualified professional, and is recognized as appropriate by the claims administrator in the diagnosis and/or treatment of the specific illness or injury. The expense cannot exceed the maximum reimbursable charge for the service as determined by the claims administrator.

the expenses that the Prescription Drug Program will cover. To be considered covered, an expense: Must be determined by the appropriate claims administrator to meet the definition of "medically necessary" for the specific illness or injury. Generally, this means that the charge must be for a treatment that follows acceptable protocols, is required to treat an illness or injury, is prescribed by a qualified professional, and is recognized as appropriate by the claims administrator in the diagnosis and/or treatment of the specific illness or injury. Cannot exceed the usual and customary limit for the service as determined by the appropriate claims administrator.

Whether an insurance plan is fee-for-service, HMO, or PPO, insurance companies do not pay for all services. For example, some may not pay for prescription drugs. Others may not pay for mental health care. Covered services are those medical procedures the insurer agrees to pay for. Your policy will list the covered services.

Health care costs accrued by insureds for which the carrier will pay benefits.

Hospital, medical, and miscellaneous health care expenses incurred by the insured that entitle him/her to a payment of benefits under a health insurance policy. Found most often in connection with major medical plans, the term defines, by either description, reasonableness, or necessity to specify the type and amount of expense which will be considered in the calculation of benefits.

Costs and fees that are incurred by the health insurance policy holder for health care that are included in the health insurance policy benefits.

The medical procedures the insurer agrees to provide coverage. Most insurance plans, whether they are fee-for-service, HMOs, or PPO, do not pay for all services. All the services the insurance company agrees to pay for will all be listed in the policy.

Hospital, medical, and other health care expenses that may be paid under a health insurance policy.

Specified hospital, medical and miscellaneous health care expenses that will be considered in the calculation of benefits due under a health insurance policy.

services for which the health insurance makes either a full or partial payment.

The costs incurred with respect to prescription services for which benefits are provided hereunder.

Those specific health care charges that an insurer will consider for payment under the terms of a health insurance policy.

Most insurance plans, whether they are fee-for-service, HMOs, or PPOs, do not pay for all services. Some may not pay for prescription drugs. Others may not pay for mental health care. Covered services are those medical procedures the insurer agrees to pay for. They are listed in the policy.

Routine medical care and specific medical expenses incurred as a result of a non-occupational illness, injury or disease which are benefits provided by your health plan.

What the insurance company will consider paying for as defined in the contract. For example, under some plans generic prescriptions are covered expenses while brand name prescriptions are not.

In health insurance, reimbursement for an insured's medically-related expenses, including, but not limited to surgery, medicines, hospitalization, ambulance service, and X-rays.