Common use of Foot Care Clause in Contracts

Foot Care. This plan does not cover routine foot care. It also does not cover services to ease foot pain or other symptoms. Examples are:  Care to keep feet clean and healthy  Care for fallen arches or flat feet  Care of corns, bunions, calluses, or toenails. This does not apply to surgery on foot bones or ingrown toenails.  Other foot problems that cause pain or other symptoms but have no exact cause or cure The only exception is for foot care you need if you have diabetes. Government Facilities This plan does not cover services provided by a state or federal hospital which is not a participating facility, except for emergency services or other covered services as required by law or regulation. Growth Hormone This plan does not cover growth hormones for the following:  To stimulate growth, except when it meets medical standards  Treatment of idiopathic short stature without growth-hormone deficiency Hair Loss This plan does not cover:  Drugs, supplies, equipment, or procedures to replace hair, slow hair loss or stimulate hair growth  Hair prostheses, such as wigs or hair weaves, transplants and implants Hearing Examinations and Hearing Aids This plan does not cover routine hearing exams; hearing aids and their fitting and maintenance, except as defined by the USPSTF for preventive benefits. Hospital Admission Limitations This plan does not cover hospital stays solely for diagnostic studies, physical examinations, checkups, medical evaluations, or observations, unless:  The services cannot be provided without the use of a hospital  There is a medical condition that makes hospital care medically necessary Illegal Acts and Terrorism This plan does not cover illness or injuries resulting from a member’s commission of:  A felony (except for a victim of domestic violence)  An act of terrorism  An act of riot or revolt Infertility and Assisted Reproduction This plan does not cover:  Services for infertility or fertility problems  Assisted reproduction methods, such as artificial insemination or in-vitro fertilization  Services to make you more fertile or for multiple births  Undoing of sterilization surgery  Complications of these services The only exception is for diagnosing infertility. Laser Therapy Benefits are not provided for low-level laser therapy for any diagnosis, including vitiligo. Military-Related Disabilities This plan does not cover services to which you are legally entitled for a military service-connected disability and for which facilities are reasonably available. Military Service and War This plan does not cover illness or injury that is caused by or arises from:  Acts of war, such as armed invasion, no matter if war has been declared or not  Services in the armed forces of any country. This includes the air force, army, coast guard, marines, national guard or navy. It also includes any related civilian forces or units. Not Eligible for Coverage The plan does not cover services that are:  Received or ordered when this plan in not in force  Not charged for or would not be charged for if this plan were not in force  You are not required to pay for, other than services covered by a pre-paid plan, such as an HMO or services that the law requires the plan to cover  Connected or directly related to any service that is not covered by this plan  Received or ordered when you are not covered under this plan  Given to someone other than an ill or injured member, except as stated in Preventive Care. No Charge or You Do Not Have to Pay Services and supplies for which no charge is made, for which none would have been made if this plan were not in effect, or for which you are not legally required to pay. However, this exclusion does not apply to covered services and supplies which are prepaid through participation under any health care service contract or health maintenance agreement; such services and supplies are subject to the Coordination of Benefits provisions outlined elsewhere in this contract.

Appears in 10 contracts

Samples: Other Covered Services, www.premera.com, www.premera.com

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Foot Care. This plan does not cover routine foot care. It also does not cover services to ease foot pain or other symptoms. Examples are: Care to keep feet clean and healthy Care for fallen arches or flat feet Care of corns, bunions, calluses, or toenails. This does not apply to surgery on foot bones or ingrown toenails. Other foot problems that cause pain or other symptoms but have no exact cause or cure The only exception is for foot care you need if you have diabetes. Government Facilities This plan does not cover services provided by a state or federal hospital which is not a participating facility, except for emergency services or other covered services as required by law or regulation. Growth Hormone This plan does not cover growth hormones for the following: To stimulate growth, except when it meets medical standards Treatment of idiopathic short stature without growth-hormone deficiency Hair Loss This plan does not cover: Drugs, supplies, equipment, or procedures to replace hair, slow hair loss or stimulate hair growth Hair prostheses, such as wigs or hair weaves, transplants and implants Hearing Examinations and Hearing Aids This plan does not cover routine hearing exams; hearing aids and their fitting and maintenance, except as defined by the USPSTF for preventive benefits. Hospital Admission Limitations This plan does not cover hospital stays solely for diagnostic studies, physical examinations, checkups, medical evaluations, or observations, unless: The services cannot be provided without the use of a hospital There is a medical condition that makes hospital care medically necessary Illegal Acts and Terrorism This plan does not cover illness or injuries resulting from a member’s commission of: A felony (except for a victim of domestic violence) An act of terrorism An act of riot or revolt Infertility and Assisted Reproduction This plan does not cover: Services for infertility or fertility problems Assisted reproduction methods, such as artificial insemination or in-vitro fertilization Services to make you more fertile or for multiple births Undoing of sterilization surgery Complications of these services The only exception is for diagnosing infertility. Laser Therapy Benefits are not provided for low-level laser therapy for any diagnosis, including vitiligo. Military-Related Disabilities This plan does not cover services to which you are legally entitled for a military service-connected disability and for which facilities are reasonably available. Military Service and War This plan does not cover illness or injury that is caused by or arises from: Acts of war, such as armed invasion, no matter if war has been declared or not Services in the armed forces of any country. This includes the air force, army, coast guard, marines, national guard or navy. It also includes any related civilian forces or units. Not Eligible for Coverage The plan does not cover services that are: Received or ordered when this plan in not in force Not charged for or would not be charged for if this plan were not in force You are not required to pay for, other than services covered by a pre-paid plan, such as an HMO or services that the law requires the plan to cover Connected or directly related to any service that is not covered by this plan Received or ordered when you are not covered under this plan Given to someone other than an ill or injured member, except as stated in Preventive Care. No Charge or You Do Not Have to Pay Services and supplies for which no charge is made, for which none would have been made if this plan were not in effect, or for which you are not legally required to pay. However, this exclusion does not apply to covered services and supplies which are prepaid through participation under any health care service contract or health maintenance agreement; such services and supplies are subject to the Coordination of Benefits provisions outlined elsewhere in this contract.

Appears in 6 contracts

Samples: www.premera.com, www.lifewisewa.com, www.premera.com

Foot Care. This plan does not cover routine foot care. It also does not cover services to ease foot pain or other symptoms. Examples are: Care to keep feet clean and healthy Care for fallen arches or flat feet Care of corns, bunions, calluses, or toenails. This does not apply to surgery on foot bones or ingrown toenails. Other foot problems that cause pain or other symptoms but have no exact cause or cure The only exception is for foot care you need if you have diabetes. Government Facilities This plan does not cover services provided by a state or federal hospital which is not a participating facility, except for emergency services or other covered services as required by law or regulation. Growth Hormone This plan does not cover growth hormones for the following: To stimulate growth, except when it meets medical standards Treatment of idiopathic short stature without growth-hormone deficiency Hair Loss This plan does not cover: Drugs, supplies, equipment, or procedures to replace hair, slow hair loss or stimulate hair growth Hair prostheses, such as wigs or hair weaves, transplants and implants Hearing Examinations and Hearing Aids This plan does not cover routine hearing exams; hearing aids and their fitting and maintenance, except as defined by the USPSTF for preventive benefits. Hospital Admission Limitations This plan does not cover hospital stays solely for diagnostic studies, physical examinations, checkups, medical evaluations, or observations, unless: The services cannot be provided without the use of a hospital There is a medical condition that makes hospital care medically necessary Illegal Acts and Terrorism This plan does not cover illness or injuries resulting from a member’s commission of: A felony (except for a victim of domestic violence) An act of terrorism An act of riot or revolt Infertility and Assisted Reproduction This plan does not cover: Services for infertility or fertility problems Assisted reproduction methods, such as artificial insemination or in-vitro fertilization Services to make you more fertile or for multiple births Undoing of sterilization surgery Complications of these services The only exception is for diagnosing infertility. Laser Therapy Benefits are not provided for low-level laser therapy for any diagnosis, including vitiligo. vitiligo Military-Related Disabilities This plan does not cover services to which you are legally entitled for a military service-connected disability and for which facilities are reasonably available. Military Service and War This plan does not cover illness or injury that is caused by or arises from: Acts of war, such as armed invasion, no matter if war has been declared or not Services in the armed forces of any country. This includes the air force, army, coast guard, marines, national guard or navy. It also includes any related civilian forces or units. Not Eligible for Coverage The plan does not cover services that are: Received or ordered when this plan in not in force Not charged for or would not be charged for if this plan were not in force You are not required to pay for, other than services covered by a pre-paid plan, such as an HMO or services that the law requires the plan to cover Connected or directly related to any service that is not covered by this plan Received or ordered when you are not covered under this plan Given to someone other than an ill or injured member, except as stated in Preventive Care. No Charge or You Do Not Have to Pay Services and supplies for which no charge is made, for which none would have been made if this plan were not in effect, or for which you are not legally required to pay. However, this exclusion does not apply to covered services and supplies which are prepaid through participation under any health care service contract or health maintenance agreement; such services and supplies are subject to the Coordination of Benefits provisions outlined elsewhere in this contract.

Appears in 3 contracts

Samples: www.premera.com, www.premera.com, www.premera.com

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Foot Care. This plan does not cover routine foot care. It also does not cover services to ease foot pain or other symptoms. Examples are:  Care to keep feet clean and healthy  Care for fallen arches or flat feet  Care of corns, bunions, calluses, or toenails. This does not apply to surgery on foot bones or ingrown toenails.  Other foot problems that cause pain or other symptoms but have no exact cause or cure The only exception is for foot care you need if you have diabetes. Government Facilities This plan does not cover services provided by a state or federal hospital which is not a participating facility, except for emergency services or other covered services as required by law or regulation. Growth Hormone This plan does not cover growth hormones for the following:  To stimulate growth, except when it meets medical standards  Treatment of idiopathic short stature without growth-hormone deficiency Hair Loss This plan does not cover:  Drugs, supplies, equipment, or procedures to replace hair, slow hair loss or stimulate hair growth  Hair prostheses, such as wigs or hair weaves, transplants and implants Hearing Examinations and Hearing Aids This plan does not cover routine hearing exams; hearing aids and their fitting and maintenance, except as defined by the USPSTF for preventive benefits. Hospital Admission Limitations This plan does not cover hospital stays solely for diagnostic studies, physical examinations, checkups, medical evaluations, or observations, unless:  The services cannot be provided without the use of a hospital  There is a medical condition that makes hospital care medically necessary Illegal Acts and Terrorism This plan does not cover illness or injuries resulting from a member’s commission of:  A felony (except for a victim of domestic violence)  An act of terrorism  An act of riot or revolt Infertility and Assisted Reproduction This plan does not cover:  Services for infertility or fertility problems  Assisted reproduction methods, such as artificial insemination or in-vitro fertilization  Services to make you more fertile or for multiple births  Undoing of sterilization surgery  Complications of these services The only exception is for diagnosing infertility. Laser Therapy Benefits are not provided for low-level laser therapy for any diagnosis, including vitiligo. vitiligo Military-Related Disabilities This plan does not cover services to which you are legally entitled for a military service-connected disability and for which facilities are reasonably available. Military Service and War This plan does not cover illness or injury that is caused by or arises from:  Acts of war, such as armed invasion, no matter if war has been declared or not  Services in the armed forces of any country. This includes the air force, army, coast guard, marines, national guard or navy. It also includes any related civilian forces or units. Not Eligible for Coverage The plan does not cover services that are:  Received or ordered when this plan in not in force  Not charged for or would not be charged for if this plan were not in force  You are not required to pay for, other than services covered by a pre-paid plan, such as an HMO or services that the law requires the plan to cover  Connected or directly related to any service that is not covered by this plan  Received or ordered when you are not covered under this plan  Given to someone other than an ill or injured member, except as stated in Preventive Care. No Charge or You Do Not Have to Pay Services and supplies for which no charge is made, for which none would have been made if this plan were not in effect, or for which you are not legally required to pay. However, this exclusion does not apply to covered services and supplies which are prepaid through participation under any health care service contract or health maintenance agreement; such services and supplies are subject to the Coordination of Benefits provisions outlined elsewhere in this contract.

Appears in 1 contract

Samples: www.premera.com

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