Common use of Diagnostic Services Benefits Clause in Contracts

Diagnostic Services Benefits. Services include, but are not limited to, the following: 1. Diagnostic, laboratory, and x-ray services. 2. Mammograms, by a Participating Provider. The Member is required to obtain a Referral from her PCP or gynecologist, or obtain pre-authorization from HMO to a Participating Provider. Screening mammogram benefits for female Members are provided as follows: • when Medically Necessary.

Appears in 4 contracts

Samples: Certificate of Coverage, Certificate of Coverage, Group Agreement

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Diagnostic Services Benefits. Services include, but are not limited to, the following: 1. Diagnostic, laboratory, and x-ray services. 2. Mammograms, by a Participating Provider. The Member is required to obtain a Referral from her PCP or gynecologist, or obtain pre-authorization from HMO to a Participating Provider. Screening mammogram benefits for female Members are provided as follows: • when Medically Necessary. 3. Prostate cancer screening benefits for male Members are provided as follows: • when Medically Necessary.

Appears in 2 contracts

Samples: Group Agreement, Group Agreement

Diagnostic Services Benefits. Services include, but are not limited to, the following: 1. Diagnostic, laboratory, and x-ray services. 2. Mammograms, by a Participating Provider. The Member is required to obtain a Referral from her PCP or gynecologist, or obtain pre-authorization from HMO to a Participating Provider, prior to receiving this benefit. Screening mammogram benefits for female Members are provided as follows: • when Medically Necessary. 3. Medically Necessary cancer screening tests which are generally accepted by the Medical Community.

Appears in 2 contracts

Samples: Group Agreement, Group Agreement

Diagnostic Services Benefits. Services include, but are not limited to, include the following: 1. Diagnostic, laboratory, and x-ray services. 2. Mammograms, by a Participating Provider. The Member is required to obtain a Referral from her PCP or gynecologist, or obtain pre-authorization from HMO gynecologist to a Participating Provider, prior to receiving this benefit. Screening mammogram benefits for female Members are provided as follows: • when Medically Necessary.

Appears in 1 contract

Samples: Group Agreement

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Diagnostic Services Benefits. Services include, but are not limited to, the following: 1. Diagnostic, laboratory, and x-ray services. 2. Mammograms, by a Participating Provider. The Member is required to obtain a Referral from her their PCP or gynecologist, or obtain pre-authorization from HMO to a Participating Provider. 3. Screening mammogram benefits for female Members are provided as follows: • when Medically Necessary.

Appears in 1 contract

Samples: Group Agreement

Diagnostic Services Benefits. Services include, but are not limited to, the following: 1. Diagnostic, laboratory, and x-ray services. 2. Mammograms, by a Participating Provider. The Member is required to obtain a Referral from her PCP or gynecologistWomen’s Health Care Specialist, or obtain pre-authorization from HMO to a Participating Provider. Screening mammogram benefits for female Members are provided as follows: • when Medically Necessary.

Appears in 1 contract

Samples: Certificate of Coverage

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