Common use of Habilitative Services Clause in Contracts

Habilitative Services. We cover Medically Necessary habilitative services. Habilitative services are defined as health care services and devices that are designed to assist individuals acquiring, retaining or improving self-help, socialization, and adaptive skills and functioning necessary for performing routine activities of daily life successfully in their home and community-based settings. These services include physical therapy, occupational therapy, speech therapy, and Durable Medical Equipment. These services have calendar year visit limits. Plan limits are outlined in the Summary of Benefits and Coverage.

Appears in 3 contracts

Samples: Certificate of Coverage, Certificate of Coverage, Certificate of Coverage

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Habilitative Services. We cover Medically Necessary habilitative services. Habilitative services are defined as health care healthcare services and devices that are designed to assist individuals acquiring, retaining or improving self-help, socialization, and adaptive skills and functioning necessary for performing routine activities of daily life successfully in their home and community-community based settings. These services include physical therapy, occupational therapy, speech therapy, and Durable Medical Equipment. These services have calendar year visit limits. Plan limits are outlined in the Summary of Benefits and Coveragedurable medical equipment.

Appears in 2 contracts

Samples: Certificate of Coverage, Certificate of Coverage

Habilitative Services. We cover Medically Necessary habilitative services. Habilitative services are defined as health care services and devices that are designed to assist individuals acquiring, retaining or improving self-help, socialization, and adaptive skills and functioning necessary for performing routine activities of daily life successfully in their home and community-based settings. These services include physical therapyPhysical Therapy, occupational therapy, speech therapy, and Durable Medical Equipment. These services have calendar year visit limits. Plan limits are outlined in the Summary of Benefits and Coverage.

Appears in 2 contracts

Samples: Group Health Care Contract, Group Health Care Contract

Habilitative Services. We cover Medically Necessary habilitative services. Habilitative services are defined as health care services and devices that are designed to assist individuals acquiring, retaining retaining, or improving self-help, socialization, and adaptive skills and functioning necessary for performing routine activities of daily life successfully in their home and community-based settings. These services include physical therapyPhysical Therapy, occupational therapy, speech therapy, and Durable Medical Equipment. These services have calendar year visit limits. Plan limits are outlined in the Summary of Benefits and Coverage.

Appears in 1 contract

Samples: Group Health Care Contract

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Habilitative Services. We cover Medically Necessary habilitative services. Habilitative services are defined as health care services and devices that are designed to assist individuals acquiring, retaining or improving self-help, socialization, and adaptive skills and functioning necessary for performing routine activities of daily life successfully in their home and community-based settings. These services include physical therapy, occupational therapy, speech therapy, and Durable Medical Equipment. These services require Prior Authorization and have calendar year visit limits. Plan limits are outlined in the Summary of Benefits and Coverage.

Appears in 1 contract

Samples: Certificate of Coverage

Habilitative Services. We cover Medically Necessary habilitative services. Habilitative services are defined as health care services and devices that are designed to assist individuals acquiring, retaining or improving self-help, socialization, and adaptive skills and functioning necessary for performing routine activities of daily life successfully in their home and community-based settings. These services include servicesIinclude physical therapy, occupational therapy, speech therapy, and Durable Medical Equipment. These services have calendar year visit limits. Plan limits are outlined in the Summary of Benefits and Coverage.

Appears in 1 contract

Samples: Certificate of Coverage

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