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 ?
The National Business Group on Health (NBGH) said 56 percent of employers in 2018 plan to offer telehealth for behavioral health services as a covered benefit.
Diabetes education is a covered benefit under Medicare, but Medicare does not currently recognize credentialed diabetes educators as diabetes education providers, according to CMS.
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.
In one step you accomplish two goals: You put your spouse to work, and you get full health insurance--medical and dental, if desired--as a 100% covered benefit.
The American Telemedicine Association is working with the HCFA to have telemedicine-mediated home-care services incorporated as a covered benefit by Medicare, when the agency shifts to a prospective payment system for home care in October 2000.
It's not a covered benefit, they said, and we can't start making exceptions now.