Chemotherapy. Shall be defined as remedial Services of a euplastic Illness or tumor by means of systemic cytotoxic agents or systemic hormonal agents.
Chemotherapy. Chemotherapy involves the treatment of infections or other diseases with chemical or biological antineoplastic agents approved by and used in accordance with the Food and Drug Administration (FDA) guidelines. Benefits for chemotherapy include chemotherapy drugs (except for outpatient oral chemotherapy drugs) and the administration of these drugs provided in either an inpatient or outpatient setting.
Chemotherapy. Use of chemical agents prescribed by a physician for the treatment and control of cancer.
Chemotherapy. Benefits are payable for necessary treatment through the use of chemotherapy under the direction of a Physician.
Chemotherapy. Eligible health services for chemotherapy depend on where treatment is received. In most cases, chemotherapy is covered as outpatient care. However, your hospital benefit covers the initial dose of chemotherapy after a cancer diagnosis during a hospital stay. Outpatient infusion therapy Eligible health services include infusion therapy you receive in an outpatient setting including but not limited to: • A free-standing outpatient facility • The outpatient department of a hospital • A physician in his/her office • A home care provider in your home You can access the list of preferred infusion locations by contacting Member Services by logging onto your secure member website at xxx.xxxxx.xxx or calling the number on the back of your ID card. Infusion therapy is the parenteral (i.e. intravenous) administration of prescribed medications or solutions. Certain infused medications may be covered under the outpatient prescription drug rider. You can access the list of specialty prescription drugs by contacting Member Services or by logging onto your secure member website at xxx.xxxxx.xxx or calling the number on the back of your ID card to determine if coverage is under the outpatient prescription drug rider or this EOC. When Infusion therapy services and supplies are provided in your home, they will not count toward any applicable home health care maximums. Outpatient radiation therapy Eligible health services include the following radiology services provided by a health professional: • Radiological services • Gamma ray • Accelerated particles • Mesons • Neutrons • Radium • Radioactive isotopes Short-term cardiac and pulmonary rehabilitation services Eligible health services include the cardiac and pulmonary rehabilitation services listed below. Cardiac rehabilitation Eligible health services include cardiac rehabilitation services you receive at a hospital, skilled nursing facility or physician’s office, but only if those services are part of a treatment plan determined by your risk level and ordered by your physician. Pulmonary rehabilitation Eligible health services include pulmonary rehabilitation services as part your inpatient hospital stay if it is part of a treatment plan ordered by your physician. A course of outpatient pulmonary rehabilitation may also be eligible for coverage if it is performed at a hospital, skilled nursing facility, or physician’s office, is used to treat reversible pulmonary disease states, and is part of a treatment plan ordered by...
Chemotherapy. The treatment of malignant disease by chemical or biological antineoplastic agents.
Chemotherapy. 7.5.1 The Commonwealth intends to reform the current arrangements for the payment of fees for chemotherapy infusions prepared under special arrangements made by the Minister under section 100 of the Act.
Chemotherapy. Chemotherapy means the treatment of malignant disease by chemical or biological antineoplastic agents, monoclonal antibodies, bone marrow stimulants, antiemetics and other related biotech products. Such chemotherapeutic agents are eligible if administered intravenously or intramuscularly (through intra- arterial injection, infusion, perfusion or subcutaneous, intracavitary and oral routes). The cost of drugs, approved by the Federal Food and Drug Administration (FDA) and only for those uses for which such drugs have been specifically approved by the FDA as antineoplastic agents is covered, provided they are administered as described in this paragraph.
Chemotherapy. We Cover chemotherapy for the treatment of a disease by chemical or biological antineoplastic agents.
Chemotherapy. The per diem service is composed of the daily per diem rate plus the Average Wholesale Price (AWP) minus 10 % of the chemotherapeutic agent. Rate /Code ---------- Chemotherapy, one drug: $ 70.00/CH001 plus the AWP minus 10% of the drug Additional Drug Therapy: Chemotherapy, additional drug: $ 35.00/CH002 plus the AWP minus 10% of the drug Attachment A
