Common use of Hospice Program Benefits Clause in Contracts

Hospice Program Benefits. Benefits are provided for services through a Par- ticipating Hospice Agency when an eligible Mem- ber requests admission to, and is formally admit- xxx into, an approved Hospice program. The Mem- ber must have a Terminal Disease or Terminal Ill- ness as determined by his or her Participating Provider’s certification and must receive prior ap- proval from Blue Shield for the admission. Mem- bers with a Terminal Disease or Terminal Illness who have not yet elected to enroll in a Hospice program may receive a pre-hospice consultative visit from a Participating Hospice Agency. A Hospice program is a specialized form of inter- disciplinary care designed to provide palliative care, alleviate the physical, emotional, social and spiritual discomforts of a Member who is experi- encing the last phases of life due to a Terminal Disease or Terminal Illness, and to provide sup- portive care to the primary caregiver and the fam- ily of the Hospice patient. Medically Necessary services are available on a 24-hour basis. Mem- bers enrolled in a Hospice program may continue to receive Covered Services that are not related to the palliation and management of their Terminal Disease or Terminal Illness from the appropriate provider. All of the services listed below must be received through the Participating Hospice Agency.

Hospice Program Benefits. Benefits are provided for services through a Par- ticipating Hospice Agency when an eligible Mem- ber requests admission to, and is formally admit- xxx into, an approved Hospice program. The Mem- ber must have a Terminal Disease or Terminal Ill- ness Illness as determined by his or her Participating Provider’s their Personal Physi- cian‘s certification and the admission must receive prior ap- proval approval from Blue Shield for the admissionShield. Mem- bers Members with a Terminal Disease or Terminal Illness who have not yet elected to enroll in a Hospice program may receive a pre-hospice consultative visit from a Participating Par- ticipating Hospice Agency. A Hospice program is a specialized form of inter- disciplinary care designed to provide palliative care, alleviate the physical, emotional, social and spiritual discomforts of a Member who is experi- encing experiencing the last phases of life due to a Terminal Disease or Terminal Ter- xxxxx Illness, and to provide sup- portive supportive care to the primary caregiver and the fam- ily Family of the Hospice patient. Medically Necessary services are available on a 24-hour basis. Mem- bers Members enrolled in a Hospice program may continue to receive Covered Services that are not related to the palliation and management manage- ment of their Terminal Disease or Terminal Illness from the appropriate provider. All of the services listed below must be received through the Participating Partici- pating Hospice Agency.