Common use of Extended Care Services Clause in Contracts

Extended Care Services. Covered Services include the following when prescribed by the PCP and authorized by the HMO. Services may have additional limitations as indicated on the Schedule of Copayments and Benefit Limits, and restrictions or exclusions described in Limitations and Exclusions. Covered Services, which may require Preauthorization, include:

Appears in 2 contracts

Samples: Certificate of Coverage, Certificate of Coverage

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Extended Care Services. Covered Services include the following when prescribed by the PCP and authorized by the HMO. Services may have additional limitations limitations, as indicated on the Schedule of Copayments and Benefit Limits, Limits and restrictions or exclusions described in Limitations and Exclusions. Covered Services, which may require PreauthorizationPreauthorization and will not be subject to any Copayment or dollar maximums, includeinclude evidence-based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (“USPSTF”) or as required by state law:

Appears in 1 contract

Samples: Certificate of Coverage

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Extended Care Services. Covered Services include the following when prescribed by the PCP and authorized by the HMO. Services may have additional limitations as indicated on the Schedule of Copayments and Benefit Limits, and restrictions or exclusions described in Limitations and Exclusions. Covered Services, which may require Preauthorization, includeand will not be subject to Copayment or dollar maximums, include evidence- based items or services that have in effect a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (“UPSTF”) or as required by state law:

Appears in 1 contract

Samples: Certificate of Coverage

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