Covered services

Covered services

Services for which SMI pays, as defined and limited by statute. Covered services include most physician services, care in outpatient departments of hospitals, diagnostic tests, DME, ambulance services, and other health services that are not covered by the HI program.

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Part of Speech: noun
Synonym(s):
Blossary:
Industry/Domain: Insurance
Category: Medicare & Medicaid
Company: Centers for Medicare & Medicaid Services
Product:
Acronym-Abbreviation:

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Related terms

covered services

Health care; General

Treatments or other services for which a health plan pays at least part of the charge.

covered service

Health care; General

The specified scope of services and the units of each service to be included as benefits under an insurance policy.

covered services

Health care; General

Hospital, medical, and other health care services incurred by the enrollee that are entitled to a payment of benefits under a health benefit contract. The term defines the type ...

covered services

Health care; General

Services provided within a given health care plan. Health care services provided or authorized by the payer's Medical Staff or payment for health care services.

covered services

Insurance; Medicare & Medicaid

Services for which SMI pays, as defined and limited by statute. Covered services include most physician services, care in outpatient departments of hospitals, diagnostic tests, ...

non-covered service

Insurance; Medicare & Medicaid

The service: * does not meet the requirements of a Medicare benefit category, * Is statutorily excluded from coverage on ground other than 1862(a)(1), or * is not reasonable and ...

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