Either Inpatient Hospital Expense, Medical-Surgical Expense, or Extended Care Expense, all as specified in the BCBSTX contract.
The type and amount of expenses covered under a health plan. Also called covered expenses.
Charges covered under a health plan. See also Covered Services, Approved Services.
expenses that meet all requirements to be covered under a plan.
the lower of the reasonable and customary charges or the agreed upon health services fee for health services and supplies covered under a health plan.
Allowable expenses for necessary medical care, which are determined by the healthcare plan in which you participate. Reasonable and customary guidelines may apply (see definition of reasonable & customary).
Expenses as defined in the health plan as being eligible for coverage. This could involve specified health service fees or customary and reasonable charges.