Once the deductible is met, Visit USA - HealthCare will pay 90 % of covered medical expenses up to $ 10,000, then 100 % of reasonable and
customary charges up to the plan limit.
Otherwise, you pay the $ 250 deductible plus the costs exceeding the payable amount of usual, reasonable, and
customary charges.
We will pay Usual and
Customary charges for Covered Expenses incurred during your travel.
If you have received fertility treatment, childbirth by an elective or medically prescribed caesarean or by normal delivery at a hospital or a clinic is covered for the maximum costs of
customary charges of one child.
The charges enumerated above shall in no event include any amount in excess of the Usual and
Customary charges (as determined by the Company).
Usual, reasonable and
customary charges, when covered illness or injury results in hospitalization as inpatient.
Coverage and benefits are for medically necessary, and usual, reasonable and
customary charges only.
Benefits will not be paid in excess of the Usual and
Customary Charges.
Reasonable and
customary charges for durable medical equipment and supplies (limitations apply as per Alberta Blue Cross).
Charges for treatment which exceed Reasonable and
Customary charges; or Charges incurred for Surgeries or treatments which are Investigational, Experimental, or for research purposes; expenses which are nonmedical in nature;
Charges for Treatment which exceed Usual, Reasonable and
Customary charges; or Charges incurred for Surgeries or Treatments which are Investigational, Experimental, or for research purposes; expenses which are nonmedical in nature;
The Insurer will reimburse the Reasonable and
Customary Charges for Medically Necessary Covered Expenses incurred by the Insured due to an Injury or Sickness within one year from the date of Injury or Sickness provided initial treatment was received during the Trip up to the Maximum Limit shown in the Schedule of Benefits.
Usual, reasonable and
customary charges.
No benefits will be paid for any expenses incurred which are in excess of Usual and
Customary Charges.
The above stated relevant expenses incurred for Domiciliary Hospitalization if Medically Necessary and at Reasonable and
Customary Charges up to a maximum aggregate sub-limit of 20 % (Twenty percent) of the Sum Insured.
Reasonable and
customary charges incurred for Domiciliary Hospitalization, if medically necessary up to a maximum aggregate sub-limit of 20 % of the sum insured.
Benefits are subject to the exclusions and limitations and are payable only at Usual, Reasonable and
Customary charges.
The charges enumerated herein shall in no event include any amount of such charges which are in excess of Usual, Reasonable and
Customary charges.
If an injury or illness occurs during the period of coverage and the insured person requires medical or surgical treatment, this plan will pay, subject to the co-insurance and selected deductible, reasonable and
customary charges for the following covered expenses, up to the selected policy maximum.
The covered charges shall in no event include any amount which is in excess of reasonable and
customary charges for the geographical area where the services are rendered, as determined by The Company.
These «
customary charges» act as a cap.
Healthcare provider liens only secure a provider's «
customary charges» for lien related services.
«In many cases the rates charged PIP - covered patients were up to 65 times higher than the hospitals» usual and
customary charges and or payments for similar radiological services to non-PIP patients,» said plaintiffs» lead attorney Theodore J. Leopold of Cohen Milstein Sellers & Toll PLLC.
Payments are assessed on the reasonable and
customary charges in your area for eligible test / treatment provided.
Prepaid and / or
customary charges may apply.
Dear Mr. Bryan Lang, An underwriting fee is ok if it is
customary charge.
If your insurer has already paid the out - of - network rate on the reasonable and
customary charge, you'll have difficulty filing a formal appeal since the insurer didn't actually deny your claim.
Next, ask your insurer what they consider the reasonable and
customary charge for this service to be.
Not exact matches
(Lest there be any doubt, the downloads were given away free of
charge, as is
customary.)
We usefulness
customary security applied sciences to ցuard your infoгmation and aгe ɑlways upfront гegarding ߋur
charges.
The presiding judge at the
customary court, Chief Ladipo Balogun admonished the woman not to lose hope and
charged her to find something to do so as to be able to pay her landlord.
Gov. Nyesom Wike of Rivers State on Monday swore in four judges of the State High Court and
Customary Court of Appeal,
charging them to resist...
Governor Abiola Ajimob of Oyo State on Monday swore in the pioneer President of the State
Customary Court of Appeal, Justice Solomon Akinteye, with a
charge...
The
customary Rumble
charge again, the difference in this round is Johnson slips whilst attacking and he himself engages a takedown attempt.
So it was an easy decision for the clients to participate and benefit: Trident would only
charge its
customary commission based on revenues received by the authors, and Trident would not become an e-book publisher, profiting at the client's expense, being a rights holder, and finding itself potentially in an adversarial position with authors.
My understanding is there's a «reasonable and
customary» which somehow doctor offices simply ignore and
charge what they will.
Under the guidelines set forth by the Department of Housing and Urban Development (HUD), a borrower can only be
charged for FHA loan closing costs that are «
customary and necessary» to close the mortgage.
Most traditional banks and
customary financial institutions have fees and
charges just for filling out an application, as well as hurting your credit score when they pull a credit report.
n) You will deliver underlying securities in good transferable form as is
customary for that type of security and the underlying securities shall be made free and clear of any lien, encumbrance, claim, pledge,
charge, restriction or impediment to transfer of any nature whatsoever.
While FHA defines which closing costs are allowable as
charges to the borrower, the specific costs and amounts that are deemed reasonable and
customary are determined by each local FHA office.
Reimbursement should be based on your total vet bill, rather than on a benefit schedule or «usual and
customary»
charges.
While taxi drivers fall into the same «round up to the nearest 5 Dirham note» rule, valets and porters do not receive the 10 % service
charge so tipping around 10 dirhams is
customary.
Tipping is
customary in restaurants where there is no service
charge included and 10 - 15 % is the norm.
Unfortunately, what you are
charged by the hospital and doctor may not be considered «reasonable and
customary» by the insurance company.
Unfortunately, the insurance company may not consider what you are
charged by the hospital and doctor may not be considered «reasonable and
customary.»
If the Insured Person is traveling outside the United States: The Company will pay 100 % of Usual, Reasonable and
Customary medical
charges for Covered Expenses, excess of the Policy Period Deductible as stated on the ID Card, up to the Medical Maximum as stated on the ID Card.
Therefore once the primary plan pays the reasonable and
customary amount there may still be a balance due on a particular health care service if the health care provider was
charging more than what the primary health insurance plan felt was reasonable and
customary.
Covered
charges include the reasonable and
customary cost of medically necessary services and supplies provided for the care and treatment of a Covered Diving Accident when prescribed, performed or ordered by a Physician.
We will pay the Usual and
Customary level of
charges for Transportation Expense for an emergency Medical Evacuation to the nearest Hospital or medical facility where suitable Medically Necessary treatment is available, provided: 1) Your local attending Physician and We or Our Program Assistance Provider determine that Your condition is acute, severe or life threatening; and 2) that adequate Medically Necessary treatment is not available in Your immediate area.
IMMI covers the Usual, Reasonable, and
Customary (URC)
charges for eligible expenses in the area where treatment is received.