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() Line(s) of Business: HMO; PPO; QUEST Integration Medicare AdvantageOriginal Effective Date: 10/01/2015 Current Effective Date: 03/01/2018POLICY A. INDICATIONS The indications below including FDA
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Covered benefit provided that refers to specific healthcare services or items that are included under a health insurance policy, contingent upon meeting certain conditions or requirements.
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The purpose of covered benefit provided that is to outline the specific healthcare benefits that are available under a policy and to clarify any conditions that must be met for these benefits to be accessible.
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Information that must be reported includes the types of covered services, the eligibility criteria for each service, any applicable limits or exclusions, and the specific conditions that must be met to qualify for coverage.
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