Common use of Ambulance Benefits Clause in Contracts

Ambulance Benefits. Benefits are provided for (1) Medically Necessary ambulance services (surface 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) Medically Necessary ambulance transportation from one medical facili- ty to another. Ambulatory surgery Services means surgery which does not require admission to a Hospital (or similar facility) as a regis- tered bed patient. Outpatient routine newborn circumcisions are covered when performed in an ambulatory surgery center. For the purposes of this Benefit, routine newborn circumcisions are circumci- sions performed within 18 months of birth. Outpatient Services including general anesthesia and associ- ated facility charges in connection with dental procedures are covered when performed in an Ambulatory Surgery Center because of an underlying medical condition or clinical status and the Member is under the age of seven or developmentally disabled regardless of age or when the Member’s health is compromised and for whom general anesthesia is Medically Necessary regardless of age. This Benefit excludes dental procedures and Services of a dentist or oral surgeon.

Ambulance Benefits. Benefits are provided for (1) Medically Necessary ambulance services (surface 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) Medically Medical- ly Necessary ambulance transportation from one medical facili- ty facility to another. Ambulatory surgery Services means surgery which does not require admission to a Hospital (or similar facility) as a regis- tered bed patient. Outpatient routine newborn circumcisions are covered when performed in an ambulatory surgery center. For the purposes of this Benefit, routine newborn circumcisions are circumci- sions performed within 18 months of birth. Outpatient Services including general anesthesia and associ- ated facility charges in connection with dental procedures are covered when performed in an Ambulatory Surgery Center because of an underlying medical condition or clinical status and the Member is under the age of seven or developmentally disabled regardless of age or when the Member’s health is compromised and for whom general anesthesia is Medically Necessary regardless of age. This Benefit excludes dental procedures and Services of a dentist or oral surgeon.