Allergy Testing and Treatment Benefits. Benefits are provided for office visits for the purpose of aller- gy testing and treatment, including injectables and serum. AMBULANCE BENEFITS The Plan will pay for ambulance Services as follows:
Allergy Testing and Treatment Benefits. Benefits are provided for allergy testing and treat- ment, including allergy serum. Benefits are provided for (1) emergency ambulance services (surface and air) when used to transport a Member from place of illness or injury to the clos- est medical facility where appropriate treatment can be received, or (2) pre-authorized, non-emer- gency ambulance transportation from one medical facility to another. Benefits are provided for surgery performed in an Ambulatory Surgery Center. Benefits are provided for routine patient care for Members who have been accepted into an approved clinical trial for treatment of cancer or a l ife- threatening condition where the clinical trial has a therapeutic intent and when prior authorized by Blue Shield, and:
Allergy Testing and Treatment Benefits. Benefits are provided for allergy testing and treat- ment, including allergy serum. Benefits are provided for (1) emergency ambulance services (surface and air) when used to transport a Member from place of illness or injury to the clos- est medical facility where appropriate treatment can be received, or (2) pre-authorized, non-emer- gency ambulance transportation (surface and air) from one medical facility to another. Ambulance services are required to be provided by a state li- censed ambulance or a psychiatric transport van. Benefits are provided for surgery performed in an Ambulatory Surgery Center. Benefits are provided for routine patient care for Members who have been accepted into an approved clinical trial for treatment of cancer or a l ife- threatening condition where the clinical trial has a therapeutic intent and when prior authorized by Blue Shield, and:
Allergy Testing and Treatment Benefits. Office visits (includes visits for allergy serum injections) 20% 50%2
Allergy Testing and Treatment Benefits. Benefits are provided for allergy testing and treat- ment, including allergy serum. Benefits are provided for routine patient care for Members who have been accepted into an approved clinical trial for treatment of cancer or a l ife- threatening condition where the clinical trial has a therapeutic intent and when prior authorized by Blue Shield, and:
Allergy Testing and Treatment Benefits. Benefits are provided for allergy testing and treat- ment, including allergy serum. Benefits are provided for (1) emergency ambu- xxxxx services (surface and air) when used to trans- port a Member from place of illness or injury to the closest medical facility where appropriate treatment can be received, or (2) pre-authorized, non-emergency ambulance transportation from one medical facility to another. Group/IPA, an Access+ Specialist, or an MHSA Participating Provider. All terms, conditions, Limi- tations, Exceptions, Exclusions and Reductions set forth in this EOC apply as well as conditions or lim- itations illustrated in the benefit descriptions below. If there are two or more Medically Necessary ser- vices that may be provided for the illness, injury or medical condition, Blue Shield will provide Bene- fits based on the most cost-effective service. When appropriate, the Personal Physician will assist the Member in applying for admission into a Hospice program through a Participating Hos- pice Agency. Hospice services obtained through a Participating Hospice Agency after the Member has been admitted into the Hospice program, do not require authorization. The applicable Copayment and Coinsurance amounts for Covered Services, are shown on the Summary of Benefits. The Summary of Benefits is provided with, and is incorporated as part of, the EOC. The determination of whether services are Medi- cally Necessary, urgent or emergent will be made by the Medical Group/IPA, the MHSA or by Blue Shield. This determination will be based upon a review that is consistent with generally accepted medical standards, and will be subject to griev- ance in accordance with the procedures outlined in the Grievance Process section. Except as specifically provided herein, services are covered only when rendered by an individual Benefits are provided for surgery performed in an Ambulatory Surgery Center. Benefits are provided for routine patient care for Members who have been accepted into an ap- proved clinical trial for treatment of cancer or a l ife-threatening condition when prior authorized through the Member’s Personal Physician, and:
Allergy Testing and Treatment Benefits. Benefits are provided for allergy testing and treat- ment, including allergy serum. Blue Shield provides the following Medically Nec- xxxxxx Benefits, subject to applicable Deductibles, Copayments, Coinsurance, charges in excess of Ben- efit maximums and Plan Provider provisions. These services and supplies are covered only when Medically Necessary and authorized by the Mem- ber’s Primary Care Physician, the Medical Group/IPA, the Mental Health Service Administra- Benefits are provided for (1) emergency ambulance services (surface and air) when used to transport a Member from place of illness or injury to the clos- est medical facility where appropriate treatment can be received, or (2) pre-authorized, non-emer- gency ambulance transportation (surface and air) from one medical facility to another. Ambulance services are required to be provided by a state li- censed ambulance or a psychiatric transport van. Benefits are provided for surgery performed in an Ambulatory Surgery Center. Benefits are provided for routine patient care for Members who have been accepted into an approved clinical trial for treatment of cancer or a l ife- threatening condition where the clinical trial has a therapeutic intent and when prior authorized by Blue Shield, and:
Allergy Testing and Treatment Benefits. Benefits are provided for allergy testing and treatment, including allergy serum. Benefits are provided for (1) ambulance services (ground and air) when used to transport a Member from place of illness or injury to the closest medical facility where appropriate treatment can be received; or (2) authorized ambulance transportation to or from Covered Services. Benefits are provided for surgery performed in an Ambulatory Surgery Center.
