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covered charges |
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covered charges, n.pl the charges for services rendered or supplies furnished by a dental professional that qualify as covered services and are paid for in whole or in part by the dental benefits program. May be subject to deductibles, copayments, coinsurance, annual or lifetime maximums, or table of allowances, as specified by the terms of the contract. |
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Enrollee pays annual hospital deductible (set at $560 for 1989) and Medicare pays balance of covered charges, regardless of the number of days of hospitalization (except for psychiatric hospital care, which is still limited by 190-day lifetime maximum). For example, a plan that requires retirees to pay deductibles and copayments amounting to 15 percent of covered charges but no premiums may be changed to require retirees to pay 15 percent of the premium but remove deductibles and copayments. Catastrophic deductible -- Once members deplete their HCA funds, they must satisfy an annual catastrophic deductible before the plan again begins to pay for covered charges. |
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covered charges
