Hyperbaric Oxygen Therapy Sample Clauses
The Hyperbaric Oxygen Therapy clause defines the terms under which hyperbaric oxygen treatments are covered or provided within an agreement, such as a health insurance policy or medical service contract. It typically outlines the specific medical conditions or circumstances that qualify for this therapy, such as treatment for decompression sickness, non-healing wounds, or carbon monoxide poisoning, and may specify requirements for pre-authorization or documentation. The core function of this clause is to clarify eligibility and coverage parameters for hyperbaric oxygen therapy, thereby preventing misunderstandings and ensuring that both parties understand when and how this specialized treatment is accessible.
Hyperbaric Oxygen Therapy. Hyperbaric Oxygen Therapy is a covered benefit only if the therapy is proposed for a condition recognized as one of the accepted indications as defined by the Hyperbaric Oxygen Therapy Committee of The Undersea and Hyperbaric Medical Society (UHMS), or medically necessary. Hyperbaric Oxygen Therapy is Excluded for any other condition. Hyperbaric Oxygen Therapy requires Prior Authorization and services must be provided by your In-network Practitioner/Provider in order to be Covered.
Hyperbaric Oxygen Therapy. Prescribed hyperbaric oxygen therapy services are covered, subject to the terms and Supplemental Charges in this benefit schedule (e.g. office visits will be subject to section A, hospital care will be subject to section B, skilled administered drugs will be subject to section F, etc.). Hyperbaric oxygen therapy must be preauthorized in writing by Kaiser Permanente, except when used to treat an Emergency Medical Condition.