Case-by-Case Added Services. Except as provided below, the HMO may offer additional benefits that are outside the scope of services to individual Members on a case-by-case basis, based on Medical Necessity, cost-effectiveness, the wishes of the Member/Member’s family, the potential for improved health status of the Member, and for STAR+PLUS Members based on functional necessity.
Appears in 15 contracts
Samples: Explanatory Note (Centene Corp), Centene Corp, Centene Corp
