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 HPN’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 Member's condition when ordered by a duly-licensed Provider.

Appears in 4 contracts

Samples: Myhpn Solutions Agreement of Coverage, Myhpn Solutions Agreement of Coverage, Myhpn Solutions 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 HPNSHL’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 MemberInsured's condition when ordered by a duly-licensed Provider.

Appears in 4 contracts

Samples: sierrahealthandlife.com, sierrahealthandlife.com, sierrahealthandlife.com

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 HPN’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 Member's condition when ordered by a duly-licensed Provider.

Appears in 2 contracts

Samples: Myhpn Solutions Agreement of Coverage, Myhpn Solutions 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 HPNSHL’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 MemberInsured's condition when ordered by a duly-licensed Provider.

Appears in 2 contracts

Samples: www.pinecrestidaho.org, sierrahealthandlife.com

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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 HPN’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 Evidence of Coverage • 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 Member's condition when ordered by a duly-licensed Provider.

Appears in 1 contract

Samples: Group Enrollment Agreement

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 HPN’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 Evidence of Coverage  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 Member's condition when ordered by a duly-licensed Provider.

Appears in 1 contract

Samples: Group Enrollment Agreement

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