Common use of Diagnostic Services Clause in Contracts

Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a Physician as part of the diagnosis or treatment of a covered illness or injury, or as a preventive Health Care Service. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to higher Member out-of-pocket expenses.

Appears in 20 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract

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Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a Participating Physician as part of the diagnosis or treatment of a covered illness or injury, or as a preventive Health Care Service. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to higher Member out-of-pocket expenses.

Appears in 19 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a an in-network Physician as part of the diagnosis or treatment of a covered illness or injury, or as a preventive Health Care Service. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to higher Member out-of-pocket expenses.

Appears in 7 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a Physician as part of the diagnosis or treatment of a covered illness or injury, or as a preventive Health Care ServiceServices. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to will have higher Member outcost-of-pocket expensessharing.

Appears in 4 contracts

Samples: Medical and Hospital Service Contract, Large Group Choice Plan Medical and Hospital Service Contract, Medical and Hospital Service Contract

Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a Participating Physician as part of the diagnosis or treatment of a covered illness or injury, injury or as a preventive Health Care ServiceServices. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to will have higher Member outcost-of-pocket expensessharing.

Appears in 3 contracts

Samples: Medical and Hospital Service Contract, Non Group Medical and Hospital Service Contract, Medical and Hospital Service Contract

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Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a Participating Physician as part of the diagnosis or treatment of a covered illness or injury, or as a preventive Health Care ServiceServices. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to will have higher Member outcost-of-pocket expensessharing.

Appears in 1 contract

Samples: Large Group Hmo Plan Medical and Hospital Service Contract

Diagnostic Services. All prescribed diagnostic imaging, laboratory tests and services are covered when Medically Necessary and ordered by a Physician as part of the diagnosis or treatment of a covered illness or injury, injury or as a preventive Health Care ServiceServices. Specialized tests such as those to diagnose Conditions that cannot be diagnosed by traditional blood tests (e.g. allergy, endocrinology, genetics, and virology testing), are subject to will have higher Member outcost-of-pocket expensessharing.

Appears in 1 contract

Samples: Non Group Medical and Hospital Service Contract

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