Common use of Concurrent Care Clause in Contracts

Concurrent Care. Services rendered to an Inpatient in a Hospital, Rehabilitation Hospital or Skilled Nursing Facility by a Professional Provider who is not in charge of the case but whose particular skills are required for the treatment of complicated conditions. This does not include observation or reassurance of the Covered Person, standby services, routine preoperative physical examinations or Medical Care routinely performed in the pre- or post-operative or pre- or post-natal periods or Medical Care required by a Facility Provider's rules and regulations.

Appears in 2 contracts

Samples: Health Benefits Plan, Comprehensive Major Medical Group Booklet Certificate

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Concurrent Care. Services rendered to a Member while an Inpatient in a Participating Facility Provider that is a Hospital, Rehabilitation Hospital or Skilled Nursing Facility by a Professional Provider Referred Specialist who is not in charge of the case but whose particular skills are required for the treatment of complicated conditions. This does not include observation or reassurance of the Covered PersonMember, standby services, routine preoperative physical examinations exams or Medical Care routinely performed in the pre- or post-operative or pre- or post-post- natal periods or Medical Care required by a the Participating Facility Provider's rules and regulations.

Appears in 2 contracts

Samples: Hmo Subscriber Agreement, Individual Hmo Subscriber Agreement

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