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covered service

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covered service
Covered health care service Managed care 1. A health care service to which a policy holder is entitled under the terms of a contract 2. A service by a primary care provider in a managed care organization, which is not referred to a specialist 3. Any medically necessary service, drugs or supplies–eg medical transportation services, which are covered under, and which plan members are entitled to receive under, a group benefits agreement. Cf Noncovered service.


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New leave entitlement: An eligible employee who is the spouse, son, daughter, parent or next of kin of a covered service member who is recovering from a serious illness or injury sustained in the line of duty while on active duty is entitled to up to 26 weeks of leave in a single 12-month period to care for the service member.
The proposed regulations indicate that FMLA leave to care for covered service members became effective on January 28, 2008.
In a major victory in the ongoing battle against the insurance industry for coverage of chiropractic services, United Healthcare (UHC) has rescinded its policy declaring chiropractic manipulative treatments for pediatric and headache patients to be unproven and therefore not a covered service.
 
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