HOSPITAL SERVICES EXCLUDE THE FOLLOWING Sample Clauses

HOSPITAL SERVICES EXCLUDE THE FOLLOWING a. Durable Medical Equipment, except as provided in paragraphs 6 and 10(a) above.
Sample 1
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HOSPITAL SERVICES EXCLUDE THE FOLLOWING a. Durable Medical Equipment, except as provided in paragraphs 6 and 10(a) above. b. Medical Services in the IPA Service Area as defined by Attachment A2 hereto. c. Outpatient prescription drugs. d. All out-of-IPA Service Area expenses, except those elective referrals as authorized by IPA. PacifiCare, in conjunction with IPA, shall make all decisions regarding the duration of a Subscriber's care at the out-of-IPA Service Area facility and transfer of the Subscriber to an IPA Service Area facility. e. Vision materials (lenses and frames) except for those surgically implanted during cataract surgery. f. Anesthesiology services (inpatient and outpatient). g. Experimental procedures, including any type of procedure not generally recognized as of value by the medical community and its societies, as determined by PacifiCare and IPA, in conformance with state and federal law. h. Cosmetic Surgery, except when performed to correct or repair the physical functioning of a body part as a result of a functional disorder or accidental injury. i. Inpatient hospital care in excess of one hundred fifty (150) days per Subscriber per Year. j. Skilled nursing care in excess of one hundred (100) days per Subscriber per Year. ATTACHMENT A2 MEDICAL SERVICES
Sample 1
HOSPITAL SERVICES EXCLUDE THE FOLLOWING a. Durable Medical Equipment, except as provided in paragraphs 6 and 10(a) above. b. Medical Services in the IPA Service Area as defined by Attachment B hereto. c. Outpatient prescription drugs, including immunosuppressive drugs. d. All out-of-IPA Service Area expenses, except those elective referrals as authorized by IPA. PacifiCare, in conjunction with IPA, shall make all decisions regarding the duration of a Subscriber's care at the out-of-IPA Service Area facility and transfer of the Subscriber to an IPA Service Area facility. e. Vision materials (lenses and frames) except for those surgically implanted during cataract surgery. f. Anesthesiology services (inpatient and outpatient). g. Experimental procedures, including any type of procedure not generally recognized as of value by the medical community and its societies, as determined by PacifiCare and IPA, in conformance with state and federal law. h. Cosmetic Surgery, except when performed to correct or repair the physical functioning of a body part as a result of a functional disorder or accidental injury. i. Inpatient hospital care in excess of one hundred fifty (150) days per Subscriber per Year except as provided in Paragraph 1 of this Attachment A. j. Skilled nursing care in excess of one hundred (100) days per Subscriber per Year. k. Respite Care AMENDMENT C SECURE HORIZONS MEDICAL AND HOSPITAL SUBSCRIBERS AGREEMENT Secure Horizons Medical and Hospital Subscriber Agreement is available upon request. A summary of the Schedule of Benefits is attached. EXHIBIT 4 ATTACHMENT E BENEFIT WITHHOLD INCENTIVE PROGRAM The purpose of the Benefit Withhold Incentive Program (BWIP) is to provide an incentive to the IPA to xxxxxx the efficient utilization of the Subscriber benefits outline in Attachment C, Section A "BENEFIT WITHHOLD", most particularly prescription drugs. The BWIP gives the IPA the ability to share in any savings when comparing actual utilization against the budgeted withhold amount. The budget will be set at [ ** ] of the monthly revenue received from HCFA for Subscribers who have designated IPA as their Participating Medical Group. Debited against this budget will be the actual expenses paid by PacifiCare for the earmarked benefits as outlined in Attachment C of those Subscribers who have designated IPA as their Participating Medical Group for the applicable month. The IPA will share [ ** ] of any savings in comparing the budget and actual expenses. PacifiCare shall provide, on a quarterly ba...
Sample 1
HOSPITAL SERVICES EXCLUDE THE FOLLOWING. (a) Durable Medical Equipment (except as provided in Section 8 above); (b) Medical Services in the Service Area as defined by Exhibit L; (c) Outpatient prescription drugs (d) Vision materials (lenses and frames or contact lenses), except lenses surgically implanted during cataract surgery during outpatient surgery at a Hospital outpatient department or an ambulatory surgical center. (e) Emergent out-of-area hospital services. (f) Denied services
Sample 1
HOSPITAL SERVICES EXCLUDE THE FOLLOWING a. Durable Medical Equipment, except as provided in paragraphs 5 and 8(a) above. b. Medical Services in the IPA Service Area as defined by Attachment A2 hereto. c. Outpatient prescription drugs, including immunosuppressive drugs. d. All out-of-IPA Service Area expenses, except those elective referrals as authorized by IPA. PacifiCare, in conjunction with IPA, shall make all decisions regarding the duration of a Subscriber's care at the out-of-IPA Service Area facility and transfer of the Subscriber to an IPA Service Area facility. e. Vision materials (lenses and frames) except for those surgically implanted during cataract surgery.
Sample 1
HOSPITAL SERVICES EXCLUDE THE FOLLOWING a. Durable Medical Equipment, except as provided in paragraphs 6 and 8(a) above. b. Medical Services in the IPA Service Area as defined by Attachment A2 hereto. c. Outpatient prescription drugs. d. All out-of-IPA Service Area expenses, except those elective Referrals as authorized by IPA. PacifiCare, in conjunction with IPA, shall make all decisions regarding the duration of a Subscriber's care at the out-of-IPA Service Area facility and transfer of the Subscriber to an IPA Service area facility. e. Impatient and outpatient psychiatric care. f. Chemical dependency rehabilitation. g. Vision materials (lenses and frames) except for those surgically implanted as provided in paragraph 8(a) above. h. Anesthesiology services (inpatient and outpatient). i. Experimental procedures, including any type of procedure not generally recognized as of value by the medical community and its societies, as determined by PacifiCare in the reasonable exercise of its discretion and consultation with IPA. j. Cosmetic Surgery, except when performed to correct or repair the physical functioning of a body part as a result of a functional disorder or accidental injury. ATTACHMENT A2 MEDICAL SERVICES
Sample 1
HOSPITAL SERVICES EXCLUDE THE FOLLOWING a. Durable Medical Equipment, except as provided in paragraph 4 above. b. Medical Services in the IPA Service Area as defined by Attachment A2 hereto. c. Outpatient prescription drugs, including immunosuppressive drugs. d. All out-of-IPA Service Area expenses, except those elective referrals as authorized by IPA. PacifiCare, in conjunction with IPA, shall make all decisions regarding the duration of a Subscriber's care at the out-of-IPA Service Area facility and transfer of the Subscriber to an IPA Service Area facility.
Sample 1
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Related to HOSPITAL SERVICES EXCLUDE THE FOLLOWING

  • Subadviser’s Services Are Not Exclusive Nothing in this Agreement shall limit or restrict the right of Subadviser or any of its partners, officers, or employees to engage in any other business or to devote his or her time and attention in part to the management or other aspects of any business, whether of a similar or a dissimilar nature, or limit or restrict Subadviser's right to engage in any other business or to render services of any kind to any other mutual fund, corporation, firm, individual, or association.

  • Non-Exclusivity of Services The Manager is free to act for its own account and to provide investment management services to others. The Fund acknowledges that the Manager and its officers and employees, and the Manager's other funds, may at any time have, acquire, increase, decrease or dispose of positions in the same investments which are at the same time being held, acquired or disposed of under this Agreement for the Fund. Neither the Manager nor any of its officers or employees shall have any obligation to effect a transaction under this Agreement simply because such a transaction is effected for his or its own account or for the account of another fund. Fund agrees that the Manager may refrain from providing any advice or services concerning securities of companies for which any officers, directors, partners or employees of the Manager or any of the Manager's affiliates act as financial adviser, investment manager or in any capacity that the Manager deems confidential, unless the Manager determines in its sole discretion that it may appropriately do so. The Fund appreciates that, for good commercial and legal reasons, material nonpublic information which becomes available to affiliates of the Manager through these relationships cannot be passed on to Fund.

  • Medical, Dental and Vision Benefits If Executive’s employment with the Bank is subject to a Termination, then, to the extent that Executive or any of Executive’s dependents may be covered under the terms of any medical, dental or vision plans maintained for active employees of the Bank or any Affiliate, the Bank shall provide Executive and those dependents with coverage equivalent to the coverage received while Executive was employed with the Bank for as long as Executive is eligible for and elects coverage under the health care continuation rules of the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”). Executive will be required to pay the same amount as Executive would pay if Executive continued in active employment with the Bank during such period. Such coverage shall be provided only to the extent that it does not result in any additional tax or other penalty being imposed on the Bank or any Affiliate. The coverage under this Section 4(e) may be procured directly by the Bank (or any Affiliate, if appropriate) apart from and outside of the terms of the respective plans, provided that Executive and Executive’s dependents comply with all of the terms of the substitute medical, dental or vision plans, and provided, further, that the cost to the Bank shall not exceed the cost for continued COBRA coverage. In the event Executive or any of Executive’s dependents is or becomes eligible for coverage under the terms of any other medical, dental or vision plan of a subsequent employer with plan benefits that are comparable to Bank (or any Affiliate) plan benefits, the Bank’s obligations under this Section 4(e) shall cease with respect to the eligible Executive and dependents. Executive and Executive’s dependents must notify the Bank (or any Affiliate) of any subsequent employment and eligibility for such comparable coverage.

  • Non-Exclusive Services The services of the Adviser to the Trust are not deemed exclusive, and the Adviser shall be free to render similar services to others, to the extent that such service does not affect the Adviser’s ability to perform its duties and obligations hereunder.

  • Administrative Services Agreement The Administrative Services Agreement has been duly authorized, executed and delivered by the Company and is a valid and binding agreement of the Company, enforceable against the Company in accordance with its terms except as the enforceability thereof may be limited by bankruptcy, insolvency, or similar laws affecting creditors’ rights generally from time to time in effect and by equitable principles of general applicability.

  • Services and Exclusivity of Services The Company and Executive ------------------------------------ recognize that the services to be rendered by Executive are of such a nature as to be peculiarly rendered by Executive, encompass the individual ability, managerial skills and business experience of Executive and cannot be measured exclusively in terms of hours or services rendered in any particular period. Executive agrees to devote Executive's full business time and to use Executive's best efforts, energy and ability exclusively toward advancing the business, affairs and interests of the Company, and matters related thereto.

  • Hosting Services GSI shall load the Web site onto server(s) that are connected to the Internet and readily accessible via the Web through use of the Domain Names. GSI shall ensure that the Web site is functional and ready to process transactions in a reasonably efficient manner.

  • Business Continuity and Disaster Recovery Bank shall maintain and update from time to time business continuation and disaster recovery procedures with respect to its global custody business, which are designed, in the event of a significant business disruption affecting Bank, to be sufficient to enable Bank to resume and continue to perform its duties and obligations under this Agreement without undue delay or disruption. Bank shall test the operability of such procedures at least annually. Bank shall enter into and shall maintain in effect at all times during the term of this Agreement reasonable provision for (i) periodic back-up of the computer files and data with respect to Customer and (ii) use of alternative electronic data processing equipment to provide services under this Agreement. Upon reasonable request, Bank shall discuss with Customer any business continuation and disaster recovery procedures of Bank. Bank represents that its business continuation and disaster recovery procedures are appropriate for its business as a global custodian to investment companies registered under the 1940 Act.

  • Post-Termination Cooperation Executive agrees that during and after employment with the Company and without additional compensation (other than reimbursement for reasonable associated expenses) to cooperate with the Company in the following areas:

  • Technical Services Party B will provide technical services and training to Party A, taking advantage of Party B’s advanced network, website and multimedia technologies to improve Party A’s system integration. Such technical services shall include:

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