Common use of Durable Medical Equipment Benefits Clause in Contracts

Durable Medical Equipment Benefits. Durable Medical Equipment will be provided when preauthorized by HMO. The wide variety of Durable Medical Equipment and continuing development of patient care equipment makes it impractical to provide a complete listing, therefore, the HMO Medical Director has the authority to approve requests on a case-by-case basis. Covered Durable Medical Equipment includes those items covered by Medicare unless excluded in the Exclusions and Limitations section of this Certificate. HMO reserves the right to provide the most cost efficient and least restrictive level of service or item which can be safely and effectively provided. The decision to rent or purchase is at the discretion of HMO. Instruction and appropriate services required for the Member to properly use the item, such as attachment or insertion, is also covered upon preauthorization by HMO. Replacement, repairs and maintenance are covered only if it is demonstrated to the HMO that:

Durable Medical Equipment Benefits. Durable Medical Equipment will be provided when preauthorized pre-authorized by HMO. The wide variety of Durable Medical Equipment and continuing development of patient care equipment makes it impractical to provide a complete listing, therefore, the HMO Medical Director has the authority to approve requests on a case-by-case basis. Covered Durable Medical Equipment includes those items covered by Medicare unless excluded in the Exclusions and Limitations section of this Certificate. HMO reserves the right to provide the most cost efficient and least restrictive level of service or item which can be safely and effectively provided. The decision to rent or purchase is at the discretion of HMO. Instruction and appropriate services required for the Member to properly use the item, such as attachment or insertion, is also covered upon preauthorization pre-authorization by HMO. Replacement, repairs and maintenance are covered only if it is demonstrated to the HMO that:

Durable Medical Equipment Benefits. Durable Medical Equipment will be provided when preauthorized pre-authorized by HMO. The wide variety of Durable Medical Equipment and continuing development of patient care equipment makes it impractical to provide a complete listing, therefore, the HMO Medical Director has the authority to approve requests on a case-by-case basis. Covered Durable Medical Equipment includes those items covered by Medicare unless excluded in the Exclusions and Limitations section of this Certificate. HMO reserves the right to provide the most cost efficient and least restrictive level of service or item which can be safely and effectively provided. The decision to rent or purchase is at the discretion of HMO. Instruction and appropriate services required for the Member to properly use the item, such as attachment or insertion, is are also covered upon preauthorization pre-authorization by HMO. Replacement, repairs and maintenance are covered only if it is demonstrated to the HMO that:

Durable Medical Equipment Benefits. Durable Medical Equipment will be provided when preauthorized by HMO. The wide variety of Durable Medical Equipment and continuing development of patient care equipment makes it impractical to provide a complete listing, therefore, the HMO Medical Director has the authority to approve requests on a case-by-case basis. Covered Durable Medical Equipment includes those items covered by Medicare unless excluded in the Exclusions and Limitations section of this Certificate. HMO reserves the right to provide the most cost efficient and least restrictive level effective item that meets the needs of service or item which can be safely and effectively providedthe patient. The decision to rent or purchase is at the discretion of HMO. Instruction and appropriate services required for the Member to properly use the item, such as attachment or insertion, is are also covered upon preauthorization by HMO. Replacement, repairs and maintenance are covered only if it is demonstrated to the HMO that: