Common use of Breast Cancer Treatment Clause in Contracts

Breast Cancer Treatment. The Plan provides Benefits for breast cancer treatment, including prostheses and the following services: 1. Inpatient care for a mastectomy, a lumpectomy, or a lymph node dissection for the treatment of breast cancer is covered for a period of time determined to be Medically Necessary by the attending Physician, Member following current Community Health Options managed care guidelines and policies to determine medical necessity. 2. If you elect breast reconstruction following mastectomy surgery, the Plan covers reconstruction in the manner you and your Provider choose. Coverage includes reconstruction of the breast on which the mastectomy was performed and surgery and reconstruction of the other breast to produce a symmetrical appearance. See section 4.B.11. As required by Maine and federal law, the Inpatient length of stay for a mastectomy, lumpectomy, or a lymph node dissection for the treatment of breast cancer will be decided by the attending Provider in consultation with you.

Appears in 3 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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Breast Cancer Treatment. The Plan provides Benefits for breast cancer treatment, including prostheses and the following services: 1. a. Inpatient care for a mastectomy, a lumpectomy, or a lymph node dissection for the treatment of breast cancer is covered for a period of time determined to be Medically Necessary by the attending Physician, Member following current Community Health Options managed care guidelines and policies to determine medical necessity. 2. b. If you elect breast reconstruction following mastectomy surgery, the Plan covers reconstruction in the manner you and your Provider choose. Coverage includes reconstruction of the breast on which the mastectomy was performed and surgery and reconstruction of the other breast to produce a symmetrical appearance. See section 4.B.114.B.9. As required by Maine and federal law, the Inpatient length of stay for a mastectomy, lumpectomy, or a lymph node dissection for the treatment of breast cancer will be decided by the attending Provider in consultation with you.

Appears in 2 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement

Breast Cancer Treatment. The Plan provides Benefits for breast cancer treatment, including prostheses and the following services: 1. Inpatient care for a mastectomy, a lumpectomy, or a lymph node dissection for the treatment of breast cancer is covered for a period of time determined to be Medically Necessary by the attending Physician, Member following current Community Health Options managed care guidelines and policies to determine medical necessity. 2. If you elect breast reconstruction following mastectomy surgery, the Plan covers reconstruction in the manner you and your Provider choose. Coverage includes reconstruction of the breast on which the mastectomy was performed and surgery and reconstruction of the other breast to produce a symmetrical appearance. See section 4.B.114.B.9. As required by Maine and federal law, the Inpatient length of stay for a mastectomy, lumpectomy, or a lymph node dissection for the treatment of breast cancer will be decided by the attending Provider in consultation with you.

Appears in 2 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement

Breast Cancer Treatment. The Plan provides Benefits for breast cancer treatment, including prostheses and the following services: 1. a. Inpatient care for a mastectomy, a lumpectomy, or a lymph node dissection for the treatment of breast cancer is covered for a period of time determined to be Medically Necessary by the attending Physician, Member following current Community Health Options managed care guidelines and policies to determine medical necessity. 2. b. If you elect breast reconstruction following mastectomy surgery, the Plan covers reconstruction in the manner you and your Provider choose. Coverage includes reconstruction of the breast on which the mastectomy was performed and surgery and reconstruction of the other breast to produce a symmetrical appearance. See section 4.B.11. As required by Maine and federal law, the Inpatient length of stay for a mastectomy, lumpectomy, or a lymph node dissection for the treatment of breast cancer will be decided by the attending Provider in consultation with you.

Appears in 1 contract

Samples: Member Benefit Agreement

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Breast Cancer Treatment. The Plan provides Benefits for breast cancer treatment, including prostheses and the following services: 1. a. Inpatient care for a mastectomy, a lumpectomy, or a lymph node dissection for the treatment of breast cancer is covered for a period of time determined to be Medically Necessary by the attending atte nding Physician, Member following current Community Health Options managed care guidelines and policies to determine medical necessity. 2. b. If you elect breast reconstruction following mastectomy surgery, the Plan covers reconstruction in the manner you and your yo ur Provider choose. Coverage includes reconstruction of the breast on which the mastectomy was performed and surgery and reconstruction of the other breast to produce a symmetrical appearance. See section 4.B.114.B.9. As required by Maine and federal law, the Inpatient length of stay for a mastectomy, lumpectomy, or a lymph node dissection for the treatment of breast cancer will be decided by the attending Provider in consultation with you.

Appears in 1 contract

Samples: Member Benefit Agreement

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