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HOSPITAL INPATIENT CARE Sample Clauses

HOSPITAL INPATIENT CAREWe cover the following inpatient Services in a Plan Hospital, when the Services are generally and customarily provided by an acute care general hospital in our Service Area: 1. Room and board (includes bed, meals and special diets), including private room when deemed Medically Necessary); 2. Specialized care and critical care units; 3. General and special nursing care; 4. Operating and recovery room; 5. Plan Physicians’ and surgeons’ Services, including consultation and treatment by specialists; 6. Anesthesia, including Services of an anesthesiologist; 7. Medical supplies; 8. Chemotherapy and radiation therapy; 9. Respiratory therapy; and
HOSPITAL INPATIENT CARE. When prescribed, the following Hospital Services are provided upon payment of a $75 Supplemental Charge per day: room and board (private room when medically necessary); general nursing care and special duty nursing; Physicians’ services; surgical procedures; respiratory therapy; anesthesia; medical supplies; use of operating and recovery rooms; intensive care room and related Hospital Services; isolation care room and related Hospital Services; medically necessary services provided in an intermediate care unit at an acute care facility; special diet. Services and items provided during a hospital inpatient stay, such as laboratory services, imaging services, testing services, radiation therapy, chemotherapy, physical therapy, occupational therapy, speech therapy, administered drugs, internal prosthetics and devices, blood, durable medical equipment ordinarily furnished by a Hospital, and external prosthetic devices and braces ordinarily furnished by a Hospital, are included in the Supplemental Charge specified in this section B.
HOSPITAL INPATIENT CAREWe cover the following inpatient Services in a Plan Hospital, when the Services are generally and customarily provided by an acute care general hospital in our Service Area: 1. Room and board (includes bed, meals and special diets), including private room when deemed Medically Necessary); 2. Specialized care and critical care units; 3. General and special nursing care; 4. Operating and recovery room; 5. Plan Physicians’ and surgeons’ Services, including consultation and treatment by specialists; 6. Anesthesia, including Services of an anesthesiologist; 7. Medical supplies; 8. Respiratory therapy; and XXXXXX PERMANENTE 9. Medical social Services and discharge planning. Additional inpatient Services are covered, but only as specifically described in this section, and subject to all the limits and exclusions for that Service.
HOSPITAL INPATIENT CARE. When prescribed, the following Hospital Services are provided at $50 per day for days 1 - 6 and without charge for days 7 and beyond: room and board (private room when medically necessary); general nursing care and special duty nursing; Physicians’ services; surgical procedures; respiratory therapy; anesthesia; medical supplies; use of operating and recovery rooms; intensive care room and related Hospital Services; special diet. Services and items provided during a hospital inpatient stay, such as laboratory services, imaging services, testing services, radiation therapy, chemotherapy, physical therapy, occupational therapy, speech therapy, administered drugs, internal prosthetics and devices, blood, durable medical equipment ordinarily furnished by a Hospital, and external prosthetic devices and braces ordinarily furnished by a Hospital, are included in the Supplemental Charge specified in this section B. Prescribed blood transfusions are provided without charge. There is no charge for blood, blood products, blood derivatives or blood components covered under Medicare or for their administration.

Related to HOSPITAL INPATIENT CARE

  • Patient Care Resident shall participate in safe, effective, and compassionate patient care, under supervision, commensurate with Resident's level of advancement and responsibility.

  • Outpatient Dental Anesthesia Services This plan covers anesthesia services received in connection with a dental service when provided in a hospital or freestanding ambulatory surgical center and: • the use of this is medically necessary; and • the setting in which the service is received is determined to be appropriate. This plan also covers facility fees associated with these services. This plan covers dental care for members until the last day of the month in which they turn nineteen (19). This plan covers services only if they meet all of the following requirements: • listed as a covered dental care service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered dental care service under this plan. • dentally necessary, consistent with our dental policies and related guidelines at the time the services are provided. • not listed in Exclusions section. • received while a member is enrolled in the plan. • consistent with applicable state or federal law. • services are provided by a network provider.

  • Urgent Care This plan covers services received at an urgent care center. For other services, such as surgery or diagnostic tests, the amount that you pay is based on the type of service being provided. See Summary of Medical Benefits for details. Follow-up care (such as suture removal or wound care) should be obtained from your

  • Hospital Services The Hospital will: 6.1.1 achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; 6.1.2 not reduce, stop, start, expand, cease to provide or transfer the provision of Hospital Services to another hospital or to another site of the Hospital if such action would result in the Hospital being unable to achieve the Performance Standards described in the Schedules and the HSAA Indicator Technical Specifications; and 6.1.3 not restrict or refuse the provision of Hospital Services that are funded by the Funder to an individual, directly or indirectly, based on the geographic area in which the person resides in Ontario, and will establish a policy prohibiting any health care professional providing services at the Hospital, including physicians, from doing the same.

  • Hospital This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Inpatient If you are an inpatient in a general or specialty hospital for mental health services, this agreement covers medically necessary hospital services and the services of an attending physician for the number of hospital days shown in the Summary of Medical Benefits. See Section

  • Medical Care The Parents must comply with the School Medical Officer's recommendations which may include a reasonable decision to release the Pupil home or to her education guardian when she is unwell.

  • Hospice Care If you have a terminal illness and you agree with your physician not to continue with a curative treatment program, this plan covers hospice care services received in your home, in a skilled nursing facility, or in an inpatient facility.

  • 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.

  • Surgery Services This plan covers surgery services to treat a disease or injury when: • the operation is not experimental or investigational, or cosmetic in nature; • the operation is being performed at the appropriate place of service; and • the physician is licensed to perform the surgery. This plan covers reconstructive surgery and procedures when the services are performed to relieve pain, or to correct or improve bodily function that is impaired as a result of: • a birth defect; • an accidental injury; • a disease; or • a previous covered surgical procedure. Functional indications for surgical correction do not include psychological, psychiatric or emotional reasons. This plan covers the procedures listed below to treat functional impairments. • abdominal wall surgery including panniculectomy (other than an abdominoplasty); • blepharoplasty and ptosis repair; • gastric bypass or gastric banding; • nasal reconstruction and septorhinoplasty; • orthognathic surgery including mandibular and maxillary osteotomy; • reduction mammoplasty; • removal of breast implants; • removal or treatment of proliferative vascular lesions and hemangiomas; • treatment of varicose veins; or • gynecomastia.