Dialysis. The Plan provides Benefits for Medically Necessary hemodialysis and dialysis on an Inpatient or Outpatient basis, or at home. When the Member is eligible for coverage of hemodialysis and dialysis under Medicare, the Plan provides Benefits only to the extent payments would exceed what would be payable by Medicare. Your PCP or kidney specialist should make all arrangements for hemodialysis and dialysis care. Coverage for hemodialysis and dialysis in the home includes nondurable medical supplies, drugs, and equipment. To be covered, hemodialysis and dialysis services under this section must be ordered by a Physician.
Dialysis. Benefits will be provided for Medically Necessary dialysis services and supplies when Referred by the PCP. In the case of home dialysis, services include equipment, training, and medical supplies. The decision to purchase or rent necessary equipment for home dialysis will be made by Keystone.
Dialysis. Dialysis" means a process by which dissolved substances are removed from a patient's body by diffusion from one fluid compartment to another across a semipermeable membrane. The 2 types of dialysis that are in common use are hemodialysis and peritoneal dialysis. [PL 1997, c. 658, §1 (NEW).]
Dialysis. 2. No Home Health Care Benefits will be provided for:
Dialysis. Section 4. No individual full-time or part-time employee shall be subject to a temporary reduction with respect to their normal work hours in excess of: Full-time (7.5 hour shifts) 5 days (37.5 hours) per calendar year Full-time (12 hour shifts) 3 days (34.5 hours) per calendar year Full-time (10 hour shifts) 4 days (38 hours) per calendar year Part-time (12 hour shifts) 2 days (23 hours) per calendar year Part-time (10 hour shifts) 3 days (28.5 hours) per calendar year Part-time (10 hour shifts) 2 days (19 hours) per calendar year Part-time 4 4 days (30 hours) per calendar year Part-time 3 3 days (22.5 hours) per calendar year Part-time 2 2 days (15 hours) per calendar year
Dialysis. Ownership, operation and management of -------- facilities and businesses which provide hemodialysis services and treatments to patients with chronic or acute kidney diseases or conditions;
Dialysis. The treatment of acute renal failure or chronic irreversible renal insufficiency for removal of waste materials from the body by hemodialysis, peritoneal dialysis, hemoperfusion, or chronic ambulatory peritoneal dialysis (CAPD), or continuous cyclical peritoneal dialysis (CCPD).
Dialysis. If the following criteria are met, we cover dialysis Services related to acute renal failure and chronic end-stage renal disease (ESRD): 1. You satisfy all medical criteria developed by Medical Group and by the facility providing the dialysis; and 2. A Plan Physician provides a written referral for care at the facility. We cover the following renal dialysis Services: 1. Outpatient maintenance dialysis treatments in a Plan dialysis facility. Coverage includes the cost of laboratory tests, equipment, supplies and other Services associated with your treatment; 2. Inpatient maintenance dialysis if you are admitted to a Plan Hospital because your medical condition requires specialized hospital Services on an inpatient basis; and 3. Plan Provider Services related to inpatient and outpatient dialysis. We cover the following self-dialysis Services: 1. Training for self-dialysis including the instructions for a person who will assist you with self-dialysis; 2. Services of the Plan Provider who is conducting your self-dialysis training; and 3. Retraining for use of new equipment for self-dialysis. We cover home dialysis, which includes: 1. Hemodialysis; 2. Home intermittent peritoneal dialysis (IPD); 3. Home continuous cycling peritoneal dialysis (CCPD); and 4. Home continuous ambulatory peritoneal dialysis (CAPD). Members traveling outside the Service Area may receive pre-planned dialysis Services for up to sixty (60) days of travel per calendar year. Prior authorization is required. Drugs, Supplies and Supplements
Dialysis. Ten (10)
Dialysis. Process by which toxic substances are removed from the blood artificially when the kidneys have failed (renal failure).
