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Health Insurance Glossary of Terms





Medically Necessary

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Treatment or supplies which are needed for the treatment or diagnoses of a medical illness or injury.  This excludes any items which are used solely for the convenience of your of the provider.  Example: If you were to fall and have a laceration on your head.  If stitches were needed, this would be a medically necessary item.  If you wanted to have the scar removed for personal appearance reasons, this is typically a non-medically necessary treatment.  In most cases an insurance company will not provide coverage for non-medically necessary services or items.






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