What is a “Covered Expense?
An expense actually incurred by or on behalf of a Covered Person for treatment, services and supplies covered by the Policy that covers either the insured or the members of an association. Coverage under the Policyholder’s (or Member’s) Policy must remain continuously in force from the date of the Covered Accident until the date treatment, services or supplies are received for them to be a Covered Expense. A Covered Expense is deemed to be incurred on the date such treatment, service or supply, that gave rise to the expense or the charge, was rendered or obtained.
Covered Expenses are those services on a health insurance plans that are not covered. Some times a doctor office copay may not be a covered expense, or a prescription drug may not be a covered expense on an outpatient basis. Covered services are those medical procedures for which the insurer has agreed to pay. They are listed in the policy contract. Get a Free Health Insurance Quote Today!