Hospitalization for Rehabilitation. Benefits are provided for an admission or transfer to a CareFirst approved facility for rehabilitation. Benefits provided during any admission will not exceed any applicable benefit limitation. The limit, if any, on hospitalization for rehabilitation applies to any portion of an admission that: 1. Is required primarily for Physical Therapy or other rehabilitative care; and 2. Would not be Medically Necessary based solely on the Member's need for inpatient acute care services other than for rehabilitation.
Appears in 5 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement, Individual Enrollment Agreement for a Qualified Health Plan
Hospitalization for Rehabilitation. Benefits are provided for an admission or transfer to a CareFirst BlueChoice approved facility for rehabilitation. Benefits provided during any admission will not exceed any applicable benefit limitation. The limit, if any, on hospitalization for rehabilitation applies to any portion of an admission that:
1. Is required primarily for Physical Therapy or other rehabilitative care; and
2. Would not be Medically Necessary based solely on the Member's need for inpatient acute care services other than for rehabilitation.
Appears in 5 contracts
Samples: Individual Enrollment Agreement, Individual Enrollment Agreement, Individual Enrollment Agreement
