HOME HEALTH CARE AND OUTPATIENT PHYSICAL THERAPY Sample Clauses

HOME HEALTH CARE AND OUTPATIENT PHYSICAL THERAPY. Coverage for this care or treatment must be approved in advance by USA Medical Services, including any and all extensions. In all cases, evidence of medical necessity and a treatment plan must be received by USA Medical Services.
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HOME HEALTH CARE AND OUTPATIENT PHYSICAL THERAPY. An initial period of up to thirty (30) days will be covered if approved in advance by USA Medical Services. Any extension of up to thirty (30) days must also be approved in advance or the claim will be denied. Updated evidence of medical necessity and a treatment plan is required in advance to obtain each approval.
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HOME HEALTH CARE AND OUTPATIENT PHYSICAL THERAPY. Coverage for this care or treatment must be approved in advance by Redbridge Network & Healthcare, Inc, including any and all extensions. In all cases, evidence of medical necessity and a treatment plan must be received by Redbridge Network & Healthcare, Inc.
Sample 1

Related to HOME HEALTH CARE AND OUTPATIENT PHYSICAL THERAPY

  • Outpatient If you receive infusion therapy services in a hospital's outpatient unit, we cover the use of the treatment room, related supplies, and solutions. For prescription drug coverage, see Section 3.27

  • Radiation Therapy/Chemotherapy Services This plan covers chemotherapy and radiation services. This plan covers respiratory therapy services. When respiratory services are provided in your home, as part of a home care program, durable medical equipment, supplies, and oxygen are covered as a durable medical equipment service.

  • Health Care Operations “Health Care Operations” shall have the same meaning as the term “health care operations” in 45 CFR §164.501.

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

  • Hospice Individuals whose permanent residence and principal work location are outside the State of Minnesota and outside of the service areas of the health plans participating in Advantage. If these individuals use the plan administrator’s national preferred provider organization in their area, services will be covered at Benefit Level Two. If a national preferred provider is not available in their area, services will be covered at Benefit Level Two through any other provider available in their area. If the national preferred provider organization is available but not used, benefits will be paid at the POS level described in paragraph “i” below. All terms and conditions outlined in the Summary of Benefits will apply.

  • Medical Examination Where the Employer requires an employee to submit to a medical examination or medical interview, it shall be at the Employer's expense and on the Employer's time.

  • Hospital Any institution which is legally licensed as a medical or surgical facility in the country in which it is located, which is a) primarily engaged in providing diagnostic and therapeutic facilities for clinical and surgical diagnosis, treatment and care of injured and sick persons by or under the supervision of a staff of physicians; and b) not a place of rest, a place for the aged or nursing or convalescent home or institution or a long term care facility.

  • Outpatient Services Physicians, Urgent Care Centers and other Outpatient Providers located outside the BlueCard® service area will typically require You to pay in full at the time of service. You must submit a Claim to obtain reimbursement for Covered Services.

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