Common use of Care That is Not Medically Clause in Contracts

Care That is Not Medically. Necessary You are not entitled to benefits for any service, supply, test or treatment which is not Medically Necessary or appropriate for the diagnosis or treatment of your illness, injury or condition (See Section Fifteen- Grievance Procedure and Utilization Review Appeals).

Appears in 4 contracts

Samples: Child Health Plus Contract, Child Health Plus Contract, Child Health Plus Contract

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