Additional Home Health Care Benefits. A. Home Visits Following Surgical Removal of a Testicle For a Member who receives less than 48 hours of inpatient hospitalization following the surgical removal of a testicle, or who undergoes the surgical removal of a testicle on an outpatient basis, benefits will be provided for: 1. One home visit scheduled to occur within twenty-four (24) hours after discharge from the hospital or outpatient health care facility; and 2. An additional home visit if prescribed by the Member’s attending physician. 3. Benefits provided under this provision do not count toward any Home Health Care visit maximum. B. Home Visits Following a Mastectomy 1. For a Member who has a shorter hospital stay than that provided under Section 5.2.B, Inpatient Coverage Following a Mastectomy, or who undergoes a Mastectomy on an outpatient basis, benefits will be provided for: a) One home visit scheduled to occur within twenty-four (24) hours after discharge from the hospital or outpatient health care facility; and b) An additional home visit if prescribed by the Member’s attending physician. 2. For a Member who remains in the hospital for at least the length of time provided in Section 5.2.B, Inpatient Coverage Following a Mastectomy, coverage will be provided for a home visit if prescribed by the Member’s attending physician 3. Benefits provided under this provision do not count toward any Home Health Care visit maximum.
Appears in 9 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan
Additional Home Health Care Benefits. A. Home Visits Following Surgical Removal of a Testicle For a Member who receives less than 48 hours of inpatient hospitalization following the surgical removal of a testicle, or who undergoes the surgical removal of a testicle on an outpatient basis, benefits will be provided for:
1. One home visit scheduled to occur within twenty-four (24) hours after discharge from the hospital or outpatient health care facility; and
2. An additional home visit if prescribed by the Member’s attending physicianContracting Physician.
3. Benefits provided under this provision do not count toward any Home Health Care visit maximum.
B. Home Visits Following a Mastectomy
1. For a Member who has a shorter hospital stay than that provided under Section 5.2.B, Inpatient Coverage Following a Mastectomy, or who undergoes a Mastectomy on an outpatient basis, benefits will be provided for:: SAMPLE
a) One home visit scheduled to occur within twenty-four (24) hours after discharge from the hospital or outpatient health care facility; and
b) An additional home visit if prescribed by the Member’s attending physicianContracting Physician.
2. For a Member who remains in the hospital for at least the length of time provided in Section 5.2.B, Inpatient Coverage Following a Mastectomy, coverage will be provided for a home visit if prescribed by the Member’s attending physicianContracting Physician.
3. Benefits provided under this provision do not count toward any Home Health Care visit maximum.
Appears in 2 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement