Common use of Health Options Medical Policy Clause in Contracts

Health Options Medical Policy. Health Options has a Medical Policy to help Health Options determine if services are Medically Necessary. We will utilize our Medical Policy only for services that are Covered Services. Health Options periodically reviews the value and effectiveness of new medical technologies and treatments. Those technologies and treatments that are deemed appropriate will be included as part of our benefit structure.

Appears in 5 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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Health Options Medical Policy. Health Options has a Medical Policy to help Health Options determine if services are Medically Necessary. We will utilize our Medical Policy only for services that are Covered Services. Health Options periodically reviews the value and effectiveness of new medical technologies and treatments. Those technologies and treatments that are deemed appropriate will be included as part of our benefit structure. The Plan may offer incentives for certain medical services to be obtained through specific providers to encourage the use of low-cost providers.

Appears in 4 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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