Common use of Direct Access Specialist Benefits Clause in Contracts

Direct Access Specialist Benefits. The following services are covered without a Referral when rendered by a Participating Provider. • Routine Gynecological Examination(s). Routine gynecological visit(s) and Pap smear(s). The maximum number of visits, if any, is listed on the Schedule of Benefits. • Direct Access to Gynecologists. Benefits are provided to female Members for services performed by a Participating gynecologist for diagnosis and treatment of gynecological problems. See the Infertility Services section of this Certificate for a description of covered Infertility services. • Routine Eye Examinations, including refraction, as follows:

Appears in 5 contracts

Samples: Aetna Health, Aetna Health, Group Agreement

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Direct Access Specialist Benefits. The following services are covered without a Referral when rendered by a Participating Provider. • Routine Gynecological Examination(s). Routine gynecological visit(s) and Pap smear(s). The maximum number of visits, if any, is listed on the Schedule of Benefits. • Direct Access to Gynecologists. Benefits are provided to female Members for services performed by a Participating gynecologist for diagnosis and treatment of gynecological problems. See the Infertility Services section of this Certificate for a description of covered Infertility services. • Routine Eye Examinations, including refraction, as follows:

Appears in 3 contracts

Samples: Group Agreement, Group Agreement, Group Agreement

Direct Access Specialist Benefits. The following services are covered without a Referral when rendered by a Participating Provider. • Routine Gynecological Examination(s). Routine gynecological visit(s) and Pap pap smear(s). The maximum number of visits, if any, is listed on the Schedule of Benefits. • Direct Open Access to Gynecologists. Benefits are provided to female Members age 13 and older for services performed by a Participating gynecologist for diagnosis and treatment of gynecological problems. See the Infertility Services section of this Certificate for a description of covered Infertility servicesbenefits. • Routine Eye Examinations, including refraction, as follows:

Appears in 1 contract

Samples: Group Agreement

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Direct Access Specialist Benefits. The following services are covered without a Referral when rendered by a Participating Provider. • Routine Gynecological Examination(s). Routine gynecological visit(s) and Pap pap smear(s). The maximum number of visits, if any, is listed on the Schedule of Benefits. • Direct Open Access to Gynecologists. Benefits are provided to female Members for services performed by a Participating gynecologist for diagnosis and treatment of gynecological problemsproblems other than Infertility Services which require a Referral. See the Infertility Services section of this Certificate for a description of covered Infertility servicesbenefits. • Routine Eye Examinations, including refraction, as follows:

Appears in 1 contract

Samples: Group Agreement

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