Common use of Corrective Appliances Clause in Contracts

Corrective Appliances. Corrective Appliances are devices that are designed to support a weakened body part and are manufactured or custom-fitted to an individual. Covered Services include custom-made or custom-fitted Medically Necessary Corrective Appliances when Prior Authorized by SHL’s Managed Care Program, to include the following:  Rigid Cervical Collars;  Abdominal Binder/Corsets;  Shoes when prescribed for a diabetic condition, otherwise only when an integral part of a lower body brace;  Helmets when prescribed in connection with cranial orthosis. Corrective Appliances do not include:  Bionic, myoelectric, microprocessor-controlled, and computerized prosthetics; or  Deluxe upgrades determined not to be Medically Necessary. Replacements, repairs and adjustments to Corrective Appliances are Covered Services when required by normal wear and tear or by a significant change in the Insured's condition when ordered by a duly-licensed Provider.

Appears in 5 contracts

Samples: Epo Agreement of Coverage, Group Health Insurance Certificate of Coverage, Epo Agreement of Coverage

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Corrective Appliances. Corrective Appliances are devices that are designed to support a weakened body part and are manufactured or custom-fitted to an individual. Covered Services include custom-made or custom-fitted Medically Necessary Corrective Appliances when Prior Authorized by SHLHPN’s Managed Care Program, to include the following:  Rigid Cervical Collars;  Abdominal Binder/Corsets;  Shoes when prescribed for a diabetic condition, otherwise only when an integral part of a lower body brace;  Helmets when prescribed in connection with cranial orthosis. Corrective Appliances do not include:  Bionic, myoelectric, microprocessor-controlled, and computerized prosthetics; or  Deluxe upgrades determined not to be Medically Necessary. Replacements, repairs and adjustments to Corrective Appliances are Covered Services when required by normal wear and tear or by a significant change in the InsuredMember's condition when ordered by a duly-licensed Provider.

Appears in 4 contracts

Samples: Agreement of Coverage, Agreement of Coverage, Agreement of Coverage

Corrective Appliances. Corrective Appliances are devices that are designed to support a weakened body part and are manufactured or custom-fitted to an individual. Covered Services include custom-made or custom-fitted Medically Necessary Corrective Appliances when Prior Authorized by SHL’s Managed Care Program, to include the following: Rigid Cervical Collars; Abdominal Binder/Corsets; Shoes when prescribed for a diabetic condition, otherwise only when an integral part of a lower body brace; Helmets when prescribed in connection with cranial orthosis. Corrective Appliances do not include: Bionic, myoelectric, microprocessor-controlled, and computerized prosthetics; or Deluxe upgrades determined not to be Medically Necessary. Replacements, repairs and adjustments to Corrective Appliances are Covered Services when required by normal wear and tear or by a significant change in the Insured's condition when ordered by a duly-licensed Provider.

Appears in 1 contract

Samples: Group Health Insurance Certificate of Coverage

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Corrective Appliances. Corrective Appliances are devices that are designed to support a weakened body part and are manufactured or custom-fitted to an individual. Covered Services include custom-made or custom-fitted Medically Necessary Corrective Appliances when Prior Authorized by SHLHPN’s Managed Care Program, to include the following: Rigid Cervical Collars; Abdominal Binder/Corsets; Shoes when prescribed for a diabetic condition, otherwise only when an integral part of a lower body brace; Helmets when prescribed in connection with cranial orthosis. Corrective Appliances do not include: Bionic, myoelectric, microprocessor-controlled, and computerized prosthetics; or Deluxe upgrades determined not to be Medically Necessary. Replacements, repairs and adjustments to Corrective Appliances are Covered Services when required by normal wear and tear or by a significant change in the InsuredMember's condition when ordered by a duly-licensed Provider.

Appears in 1 contract

Samples: Group Enrollment Agreement

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