Durable Medical Equipment and Prosthetic Devices. Durable medical equipment (DME) and prosthetic devices will be covered on an in-network basis at 80% of the NNF and on an out-of-network basis at 70% of the MAA, in each case, after the deductible is met. Precertification will be required on an in-network and out-of-network basis if the cost of purchase or rental of durable medical equipment, or the cost of a prosthetic device, is more than $5,000. (Amend the following sections of the VMEP: Sections 5.2.3 and 8.7.)
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Samples: Memorandum of Understanding
Durable Medical Equipment and Prosthetic Devices. Durable medical equipment (DME) and prosthetic devices will be covered after the deductible is met on an in-network basis at 8090% of the NNF and NNF; and, after the deductible is met on an out-of-network basis at 7060% of the MAA, in each case, after the deductible is met. Precertification will be required Pre- certification on an in-network and out-of-network basis will be required if the cost of purchase or rental of durable medical equipment, or the cost of a prosthetic device, is more than $5,000. (Amend the following sections of the VMEP: Sections 5.2.3 6.1.3, 9.7 and 8.79.18.)
Appears in 1 contract
Samples: Memorandum of Understanding
Durable Medical Equipment and Prosthetic Devices. Durable medical equipment (DME) and prosthetic devices will be covered on an inout-of- network basis at 8060% of the NNF and on an out-of-network basis at 70% of the MAA, in each case, MAA after the deductible is met. Precertification will be required Pre- certification on an in-network and out-of-network basis will be required if the cost of purchase or rental of durable medical equipment, or the cost of a prosthetic device, is more than $5,000. (Amend the following sections of the VMEP: Sections 5.2.3 6.2.2, 9.7 and 8.79.18.)
Appears in 1 contract
Samples: Memorandum of Understanding
Durable Medical Equipment and Prosthetic Devices. Durable medical equipment (DME) and prosthetic devices will be covered on an in-network basis at 8090% of the NNF and NNF; and, on an out-of-network basis at 70% of the MAA, in each case, MAA after the deductible is met. Precertification will be required on an in-network and out-of-network basis will be required if the cost of purchase or rental of durable medical equipment, or the cost of a prosthetic device, is more than $5,000. (Amend the following sections of the VMEP: Sections 5.2.3 5.1.3 and 8.7.)
Appears in 1 contract
Samples: Memorandum of Understanding
Durable Medical Equipment and Prosthetic Devices. Durable medical equipment (DME) and prosthetic devices will be covered after the deductible is met on an in-network basis at 8090% of the NNF and NNF; and, after the deductible is met on an out-of-network basis at 7060% of the MAA, in each case, after the deductible is met. Precertification will be required Pre- certification on an in-network and out-of-network basis will be required if the cost of purchase or rental of durable medical equipment, or the cost of a prosthetic device, is more than $5,000. (Amend the following sections of the VMEPFMEP: Sections 5.2.3 5.1.3 and 8.7.)
Appears in 1 contract
Samples: Memorandum of Understanding