Common use of Health Services Clause in Contracts

Health Services. Those items and services provided by Participating Providers as an alternative to hospitalization, and coordinated and pre-authorized by HMO. • Hospice Care. A program of care that is provided by a Hospital, Skilled Nursing Facility, hospice, or a duly licensed Hospice Care agency, and is approved by HMO, and is focused on a palliative rather than curative treatment for Members who have a medical condition and a prognosis of less than 6 months to live. • Hospital(s). An institution rendering inpatient and outpatient services, accredited as a Hospital by the Joint Commission on Accreditation of Health Care Organizations, the Bureau of Hospitals of the American Osteopathic Association, or as otherwise determined by HMO as meeting reasonable standards. A Hospital may be a general, acute care, rehabilitation or specialty institution.

Appears in 5 contracts

Samples: Certificate of Coverage, Certificate of Coverage, Group Agreement

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Health Services. Those items and services provided by Participating Providers as an alternative to hospitalization, and approved and coordinated and pre-authorized in advance by HMO. • Hospice Care. A program of care that is provided by a Hospital, Skilled Nursing Facility, hospice, or a duly licensed Hospice Care agency, and is approved by HMO, and is focused on a palliative rather than curative treatment for Members who have a medical condition and a prognosis of less than 6 months to live. • Hospital(s). An institution rendering inpatient and outpatient services, accredited as a Hospital by the Joint Commission on Accreditation of Health Care Organizations, the Bureau of Hospitals of the American Osteopathic Association, or as otherwise determined by HMO as meeting reasonable standards. A Hospital may be a general, acute care, rehabilitation or specialty institution.

Appears in 2 contracts

Samples: Group Agreement, Group Agreement

Health Services. Those items and services provided by Participating Providers as an alternative to hospitalization, and approved and coordinated and pre-authorized in advance by HMO. • Hospice Care. A program of care that is provided by a Hospital, Skilled Nursing Facility, hospice, or a duly licensed Hospice Care agency, and is approved by HMO, and is focused on a palliative rather than curative treatment for Members who have a medical condition and a prognosis of less than 6 months to live. • Hospital(s)Hospital. An institution rendering inpatient and outpatient services, accredited as a Hospital by the Joint Commission on Accreditation of Health Care Organizations, the Bureau of Hospitals of the American Osteopathic Association, or as otherwise determined by HMO as meeting reasonable standards. A Hospital may be a general, acute care, rehabilitation or specialty institution.

Appears in 2 contracts

Samples: Group Agreement, Group Agreement

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Health Services. Those items and services provided by Participating Providers as an alternative to hospitalization, and coordinated and pre-authorized by HMO. • Hospice Care. A program of care that is provided by a Hospital, Skilled Nursing Facility, hospice, or a duly licensed Hospice Care agency, and is approved by HMO, and is focused on a palliative rather than curative treatment for Members who have a medical condition and a prognosis of less than 6 months to live. • Hospital(s). An institution rendering inpatient and outpatient services, accredited as a Hospital by the Joint Commission on Accreditation of Health Care Organizations, the Bureau of Hospitals of the American Osteopathic Association, or as otherwise determined by HMO as meeting reasonable standards. A Hospital may be a general, acute care, rehabilitation or specialty institution.

Appears in 1 contract

Samples: Group Agreement

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