Covered Service

Servicio cubierto

In 9 languages

LanguageTerm
EnglishCovered Service
Spanish (Español) Servicio cubierto
Chinese (中文) 受保障服務
Korean (한국어) 보장 서비스
Vietnamese (Tiếng Việt) Dịch vụ được bảo hiểm
Filipino (Tagalog) Saklaw na serbisyo
Portuguese (Português) Serviço coberto
Thai (ภาษาไทย) บริการที่ครอบคลุม
Japanese (日本語) 保障対象サービス

What it means

A covered service is any medical service, procedure, drug, or supply that your health insurance plan will pay for, at least in part, when medical necessity and other plan requirements are met. Covered services are described in your plan documents, including the Summary of Benefits and Coverage. Common covered services include preventive care, hospitalization, emergency services, prescription drugs, and lab tests. However, coverage may depend on meeting your deductible, obtaining prior authorization, using in-network providers, or satisfying other conditions. Always verify with your insurer that a specific service is covered before receiving care to avoid unexpected bills.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

Is this procedure a covered service under my plan?

¿Es este procedimiento un servicio cubierto bajo mi plan?

Can you confirm in writing that this service will be covered before I schedule my appointment?

¿Pueden confirmar por escrito que este servicio estará cubierto antes de programar mi cita?

I received a bill for a service I thought was covered — can you review my claim?

Recibí una factura por un servicio que pensé estaba cubierto — ¿pueden revisar mi reclamo?

Where you'll see it

EOBplan documentsinsurer portalbill

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026