Donor services. Transplant Benefits include coverage for donation-related services for a living donor, including a potential donor, or a transplant organ bank. Donor services must be directly related to a covered transplant for a Member of this plan. Donor services include: Donor evaluation; Harvesting of the organ, tissue, or bone marrow; and Treatment of medical complications for 90 days after the evaluation or harvest procedure. Benefits are available for urgent care services you receive at an urgent care center or during an after-hours office visit. You can access urgent care instead of going to the emergency room if you have a medical condition that is not life-threatening but prompt care is needed to prevent serious deterioration of your health. If you need to visit an urgent care center and you are in your Medical Group Service Area, go to the urgent care center designated by your Medical Group or call your PCP. If you are outside of your Medical Group Service Area but within California and need urgent care, you may visit any urgent care center near you. See the Out-of-area services section for information on urgent care services outside California. This section describes the general exclusions and limitations that apply to all your plan Benefits. 1 This plan only covers services that are Medically Necessary. A Physician or other Health Care Provider’s decision to prescribe, order, recommend, or approve a service or supply does not, in itself, make it Medically Necessary. 2 Routine physical examinations solely for: Immunizations and vaccinations, by any mode of administration, for the purpose of travel; or Licensure, employment, insurance, court order, parole, or probation. This exclusion does not apply to Medically Necessary services that Blue Shield is required by law to cover for Severe Mental Illnesses or Serious Emotional Disturbances of a Child. 3 Hospitalization solely for X-ray, laboratory or any other outpatient diagnostic studies, or for medical observation. 4 Routine foot care items and services that are not Medically Necessary, including: Callus treatment; Corn paring or excision; Toenail trimming; Over-the-counter shoe inserts or arch supports; or Any type of massage procedure on the foot. This exclusion does not apply to items or services provided through a Participating Hospice Agency or covered under the diabetes care Benefit. 5 Home services, hospitalization, or confinement in a health facility primarily for rest, custodial care...
Donor services. Transplant Benefits include coverage for donation-related services for a living donor, including a potential donor, or a transplant organ bank. Donor services must be directly related to a covered transplant for a Member of this plan. Donor services include: • Donor evaluation; • Harvesting of the organ, tissue, or bone marrow; and • Treatment of medical complications for 90 days after the evaluation or harvest procedure. Benefits are available for urgent care services you receive at an urgent care center or during an after-hours office visit. You can access urgent care instead of going to the emergency room if you have a medical condition that is not life-threatening but prompt care is needed to prevent serious deterioration of your health. If you need to visit an urgent care center and you are in your Medical Group Service Area, go to the urgent care center designated by your Medical Group or call your PCP. If you are outside of your Medical Group Service Area but within California and need urgent care, you may visit any urgent care center near you. See the Out-of-area services section for information on urgent care services outside California.
Donor services. Transplant Benefits include coverage for donation-related services for a living donor, including a potential donor, or a transplant organ bank. Donor services must be directly related to a covered transplant for a Member of this plan. Donor services include: • Donor evaluation; • Harvesting of the organ, tissue, or bone marrow; and • Treatment of medical complications for 90 days after the evaluation or harvest procedure. Benefits are available for urgent care services you receive at an urgent care center or during an after-hours office visit. You can access urgent care instead of going to the emergency room if you have a medical condition that is not life-threatening but prompt care is needed to prevent serious deterioration of your health. See the Out-of-area services section for information on urgent care services outside California.
Donor services. Transplant Benefits include coverage for donation-related services for a living donor, including a potential donor, or a transplant organ bank. Donor services must be directly related to a covered transplant for a Member of this plan. Donor services include: • Donor evaluation; • Harvesting of the organ, tissue, or bone marrow; and • Treatment of medical complications for 90 days after the evaluation or harvest procedure. You may be eligible for reimbursement of your travel expenses for transplant services, including preoperative and postoperative visits, if you live at least 100 miles away from the nearest transplant services Participating Provider. For travel expense reimbursement, you must submit receipts, claim forms, and any other documentation required by Blue Shield. You must also have a claim for the transplant service for which you traveled on file with Blue Shield prior to reimbursement. When you see a Participating Provider for transplant services, your provider submits the claim for those services to Blue Shield. Blue Shield’s maximum travel expense reimbursement will not exceed $5,000 per Member, per lifetime. Expenses must be reasonably necessary. Reimbursable expenses include, if appropriate: o Transportation to and from the facility to receive transplant services; o Hotel accommodations if one or more overnight stays are required to obtain transplant services. Limited to 1 double-occupancy room up to $200/day. Only the room is covered. All other hotel expenses are excluded; o Meals. Limited to $100/day. Expenses for tobacco, alcohol, drugs, phone, television, delivery, and recreation are excluded; and o Companion expenses for reimbursable expenses as listed above. Certain travel expense reimbursements may be tax reportable. When required, Blue Shield will issue a Form 1099-MISC to you, reporting travel expense reimbursements. Blue Shield does not provide tax advice. If you have tax questions about travel expense reimbursements, you should consult with your tax advisor. You will be assigned a case manager who can help you coordinate your health care services and submit your travel expense reimbursement forms. See the Using your Benefits effectively (care management) section for more information on care management. For additional questions, contact Blue Shield Customer Service.
Donor services. The Foundation performs a myriad of fund-related activities, and provides specific services (with stipulations) to all Donor/Fundholder. These activities and services include detailed conditions and apply to all Funds. In that:
a. The Fund is a “component fund of the Xxxxxx Community Foundation.” This language should be used in all publicity and fundraising communications.
b. Contributions to the Fund can be made at any time. Checks must be made payable to the Xxxxxx Community Foundation for deposit to the Fund.
c. In keeping with I.R.S. guidelines, the Foundation does not accept cash gifts.
d. Gifts of appreciated stock and other assets may be made to this Fund, accepted in accordance with the Foundation’s Gift Acceptance Policy.
e. The Foundation will send gift acknowledgement (thank you) letters to all contributors to the Fund, providing the Foundation’s EIN (Employer Identification Number) and tax- exempt status.
f. The Foundation will never sell or distribute any contact information about the Fundholder, or any other Donor, unless given express permission by the Donor.
g. All fundraising activities conducted by the Donor/Fundholder (or by those acting on their behalf) to generate donations to the Fund must be held in compliance with federal, state and local gift solicitation laws and regulations.
h. The name of the Fund and its purpose will be posted on the Foundation website. The Donor/Fundholder may provide text, photographs, video clips, quotes, and other information to add to the Fund’s webpage. All content regarding the Fund or Donor must be approved by the Foundation, and will be posted by the Foundation. Links may be provided to other websites and other websites may link to the Fund page.
i. The Donor/Fundholder is not covered under the Foundation’s liability insurance policy.
j. In-kind donations (i.e. gifts in lieu of cash) may be made to the Fund if acceptable to the Foundation. In-kind gifts are subject to the Foundation’s Gift Acceptance Policy, and it is the responsibility of the Donor to assign a specific monetary value for the gift. In-kind gifts with a declared value in excess of $5,000 must be appraised by the Donor or Foundation prior to acceptance.
k. The Donor/Fundholder shall submit a Grant Request Form (provided by the Foundation) to request (recommend) a disbursement (grant) from the Fund. The Foundation’s Board has final approval authority for all requests submitted.
l. The Foundation will send a Quarterly Fund Statement to the...
