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.
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.

Related to HOME HEALTH CARE AND OUTPATIENT PHYSICAL THERAPY

  • Outpatient If you receive dialysis services in a hospital's outpatient unit or in a dialysis facility, we cover the use of the treatment room, related supplies, solutions, drugs, and the use of the dialysis machine. In Your Home If you receive dialysis services in your home and the services are under the supervision of a hospital or outpatient facility dialysis program, we cover the purchase or rental (whichever is less, but never to exceed our allowance for purchase) of the dialysis machine, related supplies, solutions, drugs, and necessary installation costs. Related Exclusions If you receive dialysis services in your home, this agreement does NOT cover: • installing or modifying of electric power, water and sanitary disposal or charges for these services; • moving expenses for relocating the machine; • installation expenses not necessary to operate the machine; or • training you or members of your family in the operation of the machine. This agreement does NOT cover dialysis services when received in a doctor's office.

  • Health Care Operations Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501, as such provision is currently drafted and as it is subsequently updated, amended or revised.

  • 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.

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