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.