In health insurance, expenses covered under the terms of the policy, as under the broad terms of major medical or comprehensive medical expense insurance.
The total dollar amount allowed by GHI for a covered service. Eligible expenses are set forth in GHI's Schedules of Allowances.
An eligible expense is one set out by the terms of the policy to cover the insured's costs, and must be medically necessary.
The cost of a service that is covered or allowed under a benefit plan.
Only those medical expenses which are explicitly covered in your contract.
The portion of a health care provider's services that are covered for payment under the terms of the health plan or insurance contract.
Charges for medical services or supplies that are covered under the Medical, Dental, Vision and Section 125 FSA plans. Amounts eligible for reimbursement from the Dependent Care and/or Health Care Reimbursement Account are as defined by IRC regulations.
The portion of the medical care provider's services that is covered for payment under the terms of the health plan or insurance contract.