Child Health Supervision Services Sample Clauses

Child Health Supervision Services a. Periodic Physician-delivered or Physician-supervised services from the moment of birth through the end of the month in which a Covered Dependent child turns 19, are covered as follows: i. periodic examinations, which include a history, a physical examination, and a developmental assessment and anticipatory guidance necessary to monitor the normal growth and development of a child; ii. immunizations; and iii. laboratory tests normally performed for a well-child. b. Services must be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics.
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Child Health Supervision Services. The following covered service is provided for an eligible child in accordance with the Florida Child Health Assurance Act which includes covered services from the moment of birth to age 16 years. A waiver of the deductible amount applies to all eligible service expenses for Child Health Supervision Services. Child Health Supervision Services means physician-delivered or physician-supervised services that include the services described in the Schedule of Benefits. These services do not include hospital charges. Child Health Supervision Services include periodic visits, which shall include:  History  Physical ExaminationDevelopmental AssessmentAnticipatory Guidance  Appropriate Immunizations  Laboratory Testing These services and periodic visits will be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics. If services provided or expenses incurred for hospital confinement in connection with childbirth are otherwise included as covered Service expenses, we will not limit the number of days for these expenses to less than that stated in this provision. Coverage for outpatient and inpatient pre- and post-partum care including exams, prenatal diagnosis of genetic disorder, laboratory and radiology diagnostic testing, health education, nutritional counseling, risk assessment, childbirth classes, services of nurse-midwives and midwives licensed according to Florida law, and the services of birth centers licensed according to Florida law, if such services are available within the service area, and hospital stays for delivery or other medically necessary reasons (less any applicable copayments, deductible amounts, or cost sharing percentage). Other maternity benefits include complications of pregnancy, parent education, assistance, and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests. Coverage will only be provided for maternity services and/or care of the newborn child when such services have been authorized by your participating health care provider. Under federal law, health insurance issuers generally may not restrict benefits otherwise provided for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery or less than 96 hours following a delivery by cesarean section. However, we may provide benefits f...
Child Health Supervision Services. The periodic review of a child's physical and emotional status by a Physician or other Provider pursuant to a Physician's supervision, including a history, complete physical examination, developmental assessment, anticipatory guidance, appropriate immunizations and laboratory tests in keeping with prevailing medical standards. Child Health Supervision Services must be rendered during a periodic review, provided by or under the supervision of a single Physician during the course of one visit. The periodic review must be conducted within the following frequency schedule: i. Up to six reviews in the first year following the child's birth; ii. Up to two reviews for children between the ages of one and two; iii. One review each year for children ages three through six; and iv. One review every two years for children ages seven through 18.
Child Health Supervision Services. The following covered service is provided for an eligible child in accordance with the Florida Child Health Assurance Act which includes covered services from the moment of birth to age 16 years. A waiver of the deductible amount applies to all eligible service expenses for Child Health Supervision Services. Child Health Supervision Services means physician-delivered or physician-supervised services. These services do not include hospital charges. Child Health Supervision Services include periodic visits, which shall include:  History  Anticipatory GuidancePhysical ExaminationDevelopmental Assessment  Appropriate Immunizations  Laboratory Testing These services and periodic visits will be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics. Health Insurance Issuers generally may not, under federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery, or less than 96 hours following a cesarean section. However, federal law generally does not prohibit the mother's or newborn's attending provider, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, plans and issuers may not, under federal law, require that a provider obtain authorization from the plan or the issuer for prescribing a length of stay not in excess of 48 hours (or 96 hours).
Child Health Supervision Services. The following covered service is provided for an eligible child in accordance with the Florida Child Health Assurance Act which includes covered services from the moment of birth to age 16 years. A waiver of the deductible amount applies to all eligible service expenses for Child Health Supervision Services.

Related to Child Health Supervision Services

  • Educational Services Any service or supply for education, training or retraining services or testing including: special education, remedial education; cognitive remediation; wilderness/outdoor treatment, therapy or adventure programs (whether or not the program is part of a Residential Treatment facility or otherwise licensed institution); job training or job hardening programs; educational services and schooling or any such related or similar program including therapeutic programs within a school setting.

  • Administration Services When a medical prescription drug is administered by infusion, the administration of the prescription drug may be covered separately from the prescription drug. See Infusion Therapy - Administration Services in the Summary of Medical Benefits for benefit limits and the amount you pay. Prescription drugs that are self-administered are not covered as a medical benefit but may be covered as a pharmacy benefit. Please see Pharmacy Prescription Drugs and Diabetic Equipment or Supplies – Pharmacy Benefits section above for additional information. For some medical prescription drugs, after the first administration, coverage may be limited to certain locations (for example, a designated outpatient or ambulatory service facility, physician’s office, or your home), provided the location is appropriate based on your medical status. For a list of medical prescription drugs that are subject to this Site of Care Program, visit our website. Preauthorization may be required to determine medical necessity as well as appropriate site of care. If we deny your request for preauthorization, or you disagree with our determination for the appropriate site of care, you can submit a medical appeal. See Appeals in Section 5 for information on how to file a medical appeal.

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