Medical services contract

Agreement between an insurer, physician, or provider and a managed care plan; between an insurer and a physician or provider; between a managed care plan and a provider or group of providers; between medical or mental health facilities; and between a medical or mental health clinic and a physician or provider to provide medical or mental health services.

Medical student

Individual who participates in an accredited education program that is not an approved graduate medical education (GME) program. A medical student is never considered to be an intern or a resident. Medicare does not pay for medical services provided by a student.

Medical treatment

In workers’ compensation cases, any medical, surgical, chiropractic, and hospital care including nursing, medicines, medical and surgical supplies, crutches, and artificial members that is reasonably necessary to cure or relieve from the effects of the injury.

Medical underwriting

Process that an insurance company uses to decide, based on the patient’s medical history, whether or not to take his or her application for insurance, whether or not to add a waiting period for preexisting conditions (if the state law allows it), and how much to charge for the insurance plan. The insurance company sets higher premiums for those deemed to be higher medical risks.