Follow-Up Care. In order for benefits to be payable, the Member’s PCP must provide follow-up care, unless authorized by HPN’s Managed Care Program.
Follow-Up Care. Includes Home Health Services; home infusion services; and Transplant- related outpatient services rendered within 365 days from the date of the Transplant. For the purposes of this section, the following will be considered to be one Transplant Occurrence: • Heart • Lung • Heart/ Lung • Simultaneous Pancreas Kidney (SPK) • Pancreas • Kidney • Liver • Intestine • Bone Marrow/Stem Cell Transplant • Multiple organs replaced during one Transplant surgery • Tandem Transplants (Stem Cell) • Sequential Transplants • Re-Transplant of same organ type within 365 days of the first Transplant • Any other single organ Transplant, unless otherwise excluded under the coverage The following will be considered to be more than one Transplant Occurrence: • Autologous Blood/Bone Marrow Transplant followed by Allogenic Blood/Bone Marrow Transplant (when not part of a tandem Transplant) • Allogenic Blood/Bone Marrow Transplant followed by an Autologous Blood/Bone Marrow Transplant (when not part of a tandem Transplant) • Re-Transplant after 365 days of the first Transplant • Pancreas Transplant following a kidney Transplant • A Transplant necessitated by an additional organ failure during the original Transplant surgery/process. • More than one Transplant when not performed as part of a planned tandem or sequential Transplant, (e.g. a liver Transplant with subsequent heart Transplant).
Follow-Up Care a. LCJ shall provide adequate care and maintain appropriate records for inmates who return to LCJ following hospitalization.
Follow-Up Care. The Fund will pay Follow Up Care Expenses incurred by a participant or dependent if such benefits are provided under the participant’s Schedule of Benefits after application of appropriate deductibles, discounts, coinsurance, co-payments, fee allowances, out- of-pocket maximums, and other applicable provisions. As used in the preceding sentence, the
Follow-Up Care. 23-30 An employee that returns to work after a continuous absence of greater than 80 hours, and is performing the essential functions of their classification, is eligible to use up to 56 hours of intermittent extended sick for follow-up care for a period of 90 calendar days following their return to work. The follow-up care must be directly related to the condition that caused the continuous absence, provided by a medical or mental health professional, prescribed, ordered or scheduled by the employee’s healthcare provider, and substantiated by sufficient medical documentation acceptable to the University after each follow-up appointment.
Follow-Up Care. Health Care Provider is responsible for ensuring that the patient knows how to reach Health Care Provider after the telehealth visit and knows where to go for appropriate follow-up care. During the telehealth visit, if the patient is not amenable to diagnosis or complete treatment through a telehealth encounter, Health Care Provider shall make appropriate referrals, including emergent care, if necessary. After the initial visit, Health Care Provider is permitted to telephone any patient Health Care Provider treats using the Platform for purposes of rendering appropriate medical care, writing orders, or scheduling in-person, follow-up appointments, etc. Furthermore, Health Care Provider may assume care of any patient beyond the telemedicine encounter at Health Care Provider’s sole discretion. The patient is Health Care Provider’s patient, and Health Care Provider assumes all duties and responsibilities as he or she would with any other patient seen and treated in person.
Follow-Up Care. If Athletic Trainer(s) determine that an injured Athlete requires follow-up medical services, Athletic Trainer(s) shall, depending on the circumstances, direct Athlete to either (i) the nearest or best-equipped emergency room for the Athlete’s injury as determined to be in the best medical interest of the Athlete based on the Athletic Trainer(s)’ judgment; or (ii) the Athlete’s primary care physician or team physician. If requested, Athletic Trainer(s) will provide the Athlete’s parent or guardian with information regarding possible sports medicine healthcare providers in the community for the follow-up medical services. CMH will not require that an Athlete receive such services from CMH.
