Common use of Genital Surgery Clause in Contracts

Genital Surgery. The Member must provide documentation in the form of a written psychological assessment from at least two qualified behavioral health providers experienced in treating Gender Dysphoria, who have independently assessed the Member. The assessment must document that the Member meets all of the following criteria:  Has persistent, well-documented Gender Dysphoria;  Has the Capacity to make a fully informed decision and to consent for treatment;  Must 18 years or older;  If significant medical or mental health concerns are present, they must be reasonably well controlled;  Complete at least 12 months of successful continuous full-time real-life experience in the desired gender; and  Complete 12 months of continuous cross-sex hormone therapy appropriate for the desired gender (unless medically contraindicated). HPN makes no representation or warranty as to the medical competence or ability of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians. HPN shall have no liability or responsibility, either direct, indirect, vicarious or otherwise, or any actions or inactions, whether negligent or otherwise, on the part of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians.

Appears in 1 contract

Samples: Myhpn Solutions Agreement of Coverage

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Genital Surgery. The Member must provide documentation in the form of a written psychological assessment from at least two qualified behavioral health providers experienced in treating Gender Dysphoria, who have independently assessed the Member. The assessment must document that the Member meets all of the following criteria:  Has persistent, well-documented Gender Dysphoria;  Has the Capacity capacity to make a fully informed decision and to consent for treatment;  Must 18 years or older;  If significant medical or mental health concerns are present, they must be reasonably well controlled;  Complete at least 12 months of successful continuous full-time real-life experience in the desired gender; and  Complete 12 months of continuous cross-sex hormone therapy appropriate for the desired gender (unless medically contraindicated). HPN makes no representation or warranty as to the medical competence or ability of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians. HPN shall have no liability or responsibility, either direct, indirect, vicarious or otherwise, or any actions or inactions, whether negligent or otherwise, on the part of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians.

Appears in 1 contract

Samples: Myhpn Solutions Agreement of Coverage

Genital Surgery. The Member must provide documentation in the form of a written psychological assessment from at least two qualified behavioral health providers experienced in treating Gender Dysphoria, who have independently assessed the Member. The assessment must document that the Member meets all of the following criteria:  Has persistent, well-documented Gender Dysphoria;  Has the Capacity to make a fully informed decision and to consent for treatment;  Must 18 years or older;  If significant medical or mental health concerns are present, they must be reasonably well controlled;  Complete at least 12 months of successful continuous full-time real-life experience in the desired gender; and  Complete 12 months of continuous cross-sex hormone therapy appropriate for the desired gender (unless medically contraindicated). HPN makes no representation or warranty as to the medical competence or ability of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians. HPN shall have no liability or responsibility, either direct, indirect, vicarious or otherwise, or any actions or inactions, whether negligent or otherwise, on the part of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians.. Evidence of Coverage

Appears in 1 contract

Samples: Group Enrollment Agreement

Genital Surgery. The Member must provide documentation in the form of a written psychological assessment from at least two qualified behavioral health providers experienced in treating Gender Dysphoria, who have independently assessed the Member. The assessment must document that the Member meets all of the following criteria: Has persistent, well-documented Gender Dysphoria; Has the Capacity to make a fully informed decision and to consent for treatment; Must 18 years or older; If significant medical or mental health concerns are present, they must be reasonably well controlled; Complete at least 12 months of successful continuous full-time real-life experience in the desired gender; and Complete 12 months of continuous cross-sex hormone therapy appropriate for the desired gender (unless medically contraindicated). HPN makes no representation or warranty as to the medical competence or ability of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians. HPN shall have no liability or responsibility, either direct, indirect, vicarious or otherwise, or any actions or inactions, whether negligent or otherwise, on the part of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians.. Evidence of Coverage

Appears in 1 contract

Samples: Group Enrollment Agreement

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Genital Surgery. The Member must provide documentation in the form of a written psychological assessment from at least two qualified behavioral health providers experienced in treating Gender Dysphoria, who have independently assessed the Member. The assessment must document that the Member meets all of the following criteria:  Has persistent, well-documented Gender Dysphoria;  Has the Capacity capacity to make a fully informed decision and to consent for treatment;  Must 18 years or older; Agreement of Coverage  If significant medical or mental health concerns are present, they must be reasonably well controlled;  Complete at least 12 months of successful continuous full-time real-life experience in the desired gender; and  Complete 12 months of continuous cross-sex hormone therapy appropriate for the desired gender (unless medically contraindicated). HPN makes no representation or warranty as to the medical competence or ability of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians. HPN shall have no liability or responsibility, either direct, indirect, vicarious or otherwise, or any actions or inactions, whether negligent or otherwise, on the part of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians.

Appears in 1 contract

Samples: Myhpn Solutions Agreement of Coverage

Genital Surgery. The Member must provide documentation in the form of a written psychological assessment from at least two qualified behavioral health providers experienced in treating Gender Dysphoria, who have independently assessed the Member. The assessment must document that the Member meets all of the following criteria: Has persistent, well-documented Gender Dysphoria; Has the Capacity capacity to make a fully informed decision and to consent for treatment; Must 18 years or older; Agreement of Coverage • If significant medical or mental health concerns are present, they must be reasonably well controlled; Complete at least 12 months of successful continuous full-time real-life experience in the desired gender; and Complete 12 months of continuous cross-sex hormone therapy appropriate for the desired gender (unless medically contraindicated). HPN makes no representation or warranty as to the medical competence or ability of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians. HPN shall have no liability or responsibility, either direct, indirect, vicarious or otherwise, or any actions or inactions, whether negligent or otherwise, on the part of any Gender Dysphoria Treatment Center/Facility or its respective staff or Physicians.

Appears in 1 contract

Samples: Myhpn Solutions Agreement of Coverage

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