Artificial Heart Devices. Artificial or mechanical hearts or heart assist devices are not covered as a Benefit. This exclusion does not include pacemakers or defibrillators. In addition, services and supplies for treatment of a heart condition while such devices remain in place are also not covered. The only exception is for left ventricular assist devices that meet medical necessity criteria.
Appears in 5 contracts
Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement
Artificial Heart Devices. Artificial or mechanical hearts or heart assist devices are not covered as a Benefit. This exclusion does not include pacemakers or defibrillators. In addition, services and supplies for treatment of a heart condition while such devices remain in place are also not covered. The only exception is for left ventricular assist devices that meet medical necessity criteriaare being used temporarily while awaiting heart transplant.
Appears in 4 contracts
Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement
Artificial Heart Devices. Artificial or mechanical hearts or heart assist devices are not covered as a Benefit. This exclusion does not include pacemakers or defibrillators. In addition, services services, and supplies for treatment of a heart condition while such devices remain in place are also not covered. The only exception is for left ventricular assist devices that meet medical necessity criteria.
Appears in 3 contracts
Samples: Benefit Agreement, Benefit Agreement, Member Benefit Agreement
Artificial Heart Devices. Artificial or mechanical hearts or heart assist devices are not covered as a Benefit. This exclusion does not include pacemakers or defibrillators. In addition, services and supplies supp lies for treatment of a heart condition while such devices remain in place are also not covered. The only exception is for left ventricular assist devices that meet medical necessity criteria.
Appears in 1 contract
Samples: Benefit Agreement
