Experimental or Cosmetic Procedures. In no instance shall the Contractor be required to pay Claims for experimental or cosmetic procedures, except as required by the Puerto Rico Patient’s Xxxx of Rights Act or any other federal or Puerto Rico law or regulation. As provided in Section 7.5.6.2 of this Contract, breast reconstruction after a mastectomy and surgical procedures that are determined to be Medically Necessary to treat morbid obesity shall not be regarded as cosmetic procedures.
Appears in 3 contracts
Samples: Contract (Triple-S Management Corp), Contract (Triple-S Management Corp), Triple-S Management Corp
Experimental or Cosmetic Procedures. 7.3.1 In no instance shall the Contractor be required to pay Claims for cover experimental or cosmetic procedures, except as required by the Puerto Rico Patient’s Xxxx Bill of Rights Act or any other federal Federal or Puerto Rico law or regulation. As provided in Section 7.5.6.2 of this Contract, breast Breast reconstruction after a mastectomy and surgical procedures that are determined to be Medically Necessary to treat morbid obesity shall not be regarded as cosmetic procedures.
Appears in 2 contracts
Samples: Model Contract, Model Contract
Experimental or Cosmetic Procedures. 7.3.1 In no instance shall the Contractor be required to pay Claims for cover experimental or cosmetic procedures, except as required by the Puerto Rico Patient’s Xxxx of Rights Act or any other federal Federal or Puerto Rico law or regulation. As provided in Section 7.5.6.2 of this Contract, breast Breast reconstruction after a mastectomy and surgical procedures that are determined to be Medically Necessary to treat morbid obesity shall not be regarded as cosmetic procedures.
Appears in 2 contracts
Samples: Model Contract, Triple-S Management Corp
