Common use of Ambulance Service Clause in Contracts

Ambulance Service. 1. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured: a. from a Member’s home or the scene of an accident or medical emergency to a Hospital, or Skilled Nursing Facility; b. between Hospitals; or c. between a Hospital and a Skilled Nursing Facility when such facility is the closest institution that can provide Covered Services appropriate to the Member’s condition. If there is no facility in the local area that can provide Covered Services appropriate to the Member’s condition, then Ambulance Service means transportation to the closest facility outside the local area that can provide the necessary service. Transportation and related emergency services provided by an Ambulance Service shall constitute Emergency Ambulance Services if the injury or the condition satisfies the criteria as described in the EMERGENCY CARE SERVICES Definition of SECTION DE - DEFINITIONS of this Agreement. Use of an ambulance as transportation to an emergency room of a Facility Provider for an injury or condition that does not satisfy the criteria set forth in the EMERGENCY CARE SERVICES Definition will not be covered as Emergency Ambulance Services. 2. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured: a. from a Hospital to the Member’s home; or b. from a Skilled Nursing Facility to the Member’s home.

Appears in 4 contracts

Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Exclusive Provider Subscription Agreement

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Ambulance Service. 1. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured: a. from a Member’s home or the scene of an accident or medical emergency to a Hospital, or Skilled Nursing Facility; b. between Hospitals; or c. between a Hospital and a Skilled Nursing Facility Facility. when such facility is the closest institution that can provide Covered Services appropriate to the Member’s condition. If there is no facility in the local area that can provide Covered Services appropriate to the Member’s condition, then Ambulance Service means transportation to the closest facility outside the local area that can provide the necessary service. Transportation and related emergency services provided by an Ambulance Service shall constitute Emergency Ambulance Services if the injury or the condition satisfies the criteria as described in the EMERGENCY CARE SERVICES Definition of SECTION DE - DEFINITIONS of this AgreementContract. Use of an ambulance as transportation to an emergency room of a Facility Provider for an injury or condition that does not satisfy the criteria set forth in the EMERGENCY CARE SERVICES Definition will not be covered as Emergency Ambulance Services. 2. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured: a. from a Hospital to the Member’s home; or b. from a Skilled Nursing Facility to the Member’s home.

Appears in 2 contracts

Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Subscription Agreement

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Ambulance Service. 1. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured: a. from a Member’s home or the scene of an accident or medical emergency to a Hospital, or Skilled Nursing Facility; b. between Hospitals; or c. between a Hospital and a Skilled Nursing Facility when such facility is the closest institution that can provide Covered Services appropriate to the Member’s condition. If there is no facility in the local area that can provide Covered Services appropriate to the Member’s condition, then Ambulance Service means transportation to the closest facility outside the local area that can provide the necessary service. Transportation and related emergency services provided by an Ambulance Service shall constitute Emergency Ambulance Services if the injury or the condition satisfies the criteria as described in the EMERGENCY CARE SERVICES Definition of SECTION DE - DEFINITIONS of this AgreementContract. Use of an ambulance as transportation to an emergency room of a Facility Provider for an injury or condition that does not satisfy the criteria set forth in the EMERGENCY CARE SERVICES Definition will not be covered as Emergency Ambulance Services. 2. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured: a. from a Hospital to the Member’s home; or b. from a Skilled Nursing Facility to the Member’s home.

Appears in 1 contract

Samples: Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement

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