covered benefit

covered benefit

a health service included in the premium of a policy paid by or on behalf of the enrolled patient. Also called benefit, covered service.
References in periodicals archive ?
Since partnering with American Well in 2012, LiveHealth Online has been offering video doctor visits as a covered benefit, which now includes more than 15 Million members.
Effective January 1, 2015, virtual care will be a component of LifeWise's healthcare delivery system and will be available as a covered benefit to all members.
Effective January 1, 2014, intensive behaviour therapy for treatment of autism spectrum disorders, such as Applied Behaviour Analysis (ABA) Therapy, will be a covered benefit for employees and their families.
The report discusses how the package will impact the health insurance system; approaches to covered benefit definition and design; the policy foundations and criteria the committee used to guide deliberations and for defining and updated benefits; and conclusions about the provisions in the ACA that provide conflicting direction for essential benefits.
All plans will have to provide, at a minimum, an "essential health benefits package" that will provide each insured person with a comprehensive set of services that covers no less than 60 percent of the cost of the covered benefit.
Note: Same-day surgery as a covered benefit was introduced by the co-author of this article while working as head underwriter at the Polish health carrier Cigna STU.
The majority of employers with alternative-care benefits sampled in the survey (86 percent) provide them as a covered benefit in the employer-sponsored health plan.
It's not a covered benefit, they said, and we can't start making exceptions now.
The incentive then exists to exclude individuals with significant known health-care needs from participating in the MCO (just as health insurance carriers do now) or to find ways of denying services, even when the service is listed as a covered benefit.
In August 2012, Medicare coverage was established for the Corus CAD gene expression test for evaluating patients presenting with typical and atypical symptoms suggestive of coronary artery disease, making the test a covered benefit for more than 40 million Medicare enrollees in the U.
Effective January 1, 2015, virtual care will be a component of Premera's healthcare delivery system and will be available as a covered benefit to all members.