Common use of Home Healthcare Services Clause in Contracts

Home Healthcare Services. Covered Services include services given to a Member in his home by a licensed Home Healthcare Provider or an approved Hospital program for Home Healthcare. Such services are covered when a Member is homebound for medical reasons, physically not able to obtain Medically Necessary care on an outpatient basis, under the care of a Physician and such care is given in place of Inpatient Hospital or Skilled Nursing Facility care. Covered Services and supplies provided by a Home Healthcare agency include:  Professional services of a registered nurse, licensed practical nurse or a licensed vocational nurse on an intermittent basis.  Physical therapy, speech therapy and occupational therapy by a licensed therapist.  Medical and surgical supplies that are customarily furnished by the Home Healthcare agency or program for its patients.  Prescribed drugs furnished and charged for by the Home Healthcare agency or program. Prescribed drugs under this provision do not include Specialty Prescription Drugs. Please refer to the optional HPN Prescription Drug Benefit Rider, if applicable to your Plan, for information on benefits available for Specialty covered drugs.  One (1) medical social service consultation per course of treatment.  One (1) nutrition consultation by a certified registered dietitian.

Home Healthcare Services. Covered Services include services given to a Member in his home by a licensed Home Healthcare Provider or an approved Hospital program for Home Healthcare. Such services are covered when a Member is homebound for medical reasons, physically not able to obtain Medically Necessary care on an outpatient basis, under the care of a Physician and such care is given in place of Inpatient Hospital or Skilled Nursing Facility care. Covered Services and supplies provided by a Home Healthcare agency include:  • Professional services of a registered nurse, licensed practical nurse or a licensed vocational nurse on an intermittent basis.  • Physical therapy, speech therapy and occupational therapy by a licensed therapist.  • Medical and surgical supplies that are customarily furnished by the Home Healthcare agency or program for its patients.  • Prescribed drugs furnished and charged for by the Home Healthcare agency or program. Prescribed drugs under this provision do not include Specialty Prescription Drugs. Please refer to the optional HPN Prescription Drug Benefit Rider, if applicable to your Plan, for information on benefits available for Specialty covered drugs.  One (1) medical social service consultation per course of treatment.  One (1) nutrition consultation by a certified registered dietitian.