Common use of ELECTIVE PROCEDURE Clause in Contracts

ELECTIVE PROCEDURE. 20.1 In the event of planned admission on an in-patient basis to a hospital, the following steps should be taken. Payment of any expenses incurred by you is not guaranteed unless the following procedure is followed: 20.1.1 the Member should contact Specialty Emergency Services prior to admission, giving full details of the condition and proposed treatment. A detailed medical report must accompany this application; 20.1.2 Specialty Emergency Services’ Medical Department/s will advise you if they have sufficient information to confirm whether coverage is in place. If not, they will advise you of what additional information is required; 20.1.3 if treatment is approved by Specialty Emergency Services, the excess deductible amount must be paid to Specialty Emergency Services in advance;

ELECTIVE PROCEDURE. 20.1 15.1 In the event of planned admission on an in-patient basis to a hospital, the following steps should be taken. Payment of any expenses incurred by you is not guaranteed unless the following procedure is followed: 20.1.1 15.1.1 the Member should contact Specialty Emergency Services prior to admission, giving full details of the condition and proposed treatment. A detailed medical report must accompany this application; 20.1.2 15.1.2 Specialty Emergency Services’ Medical Department/s will advise you if they have sufficient information to confirm whether coverage is in place. If not, they will advise you of what additional information is required; 20.1.3 15.1.3 if treatment is approved by Specialty Emergency Services, the excess deductible amount must be paid to Specialty Emergency Services in advance;