Common use of Hypertension Clause in Contracts

Hypertension. The following services related to hypertension are covered with $0 Out-of-Pocket Cost when linked to a primary diagnosis of hypertension and performed by a Network Provider: • Office visits to a Primary Care Provider for routine management of hypertension • Office visits to a Cardiologist (heart specialist) for consultation and routine management of Hypertension • Office visits to a Nephrologist (kidney specialist) for consultation and routine management of Hypertension • Palliative care conversations (chronic condition treatment preferences) with Primary Care Provider, Cardiologist, or Nephrologist • Nutritional counseling up to six (6) visits per year • Targeted laboratory tests for the routine management of hypertension Please note, if you have complications from hypertension and use an emergency department or urgent care center, have a Hospital stay, or get treatment for heart and kidney disease, services will be subject to standard Out-of-Pocket Costs as outlined in your Schedule of Benefits.

Appears in 2 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement

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Hypertension. The following services related to hypertension are covered with $0 Out-of-Pocket Out‐of‐Pocket Cost when linked to a primary diagnosis of hypertension and performed by a Network Provider: • Office visits to a Primary Care Provider for routine management of hypertension • Office visits to a Cardiologist (heart specialist) for consultation and routine management of Hypertension • Office visits to a Nephrologist (kidney specialist) for consultation and routine management of Hypertension • Palliative care conversations (chronic condition treatment preferences) with Primary Care Provider, Cardiologist, or Nephrologist • Nutritional counseling up to six (6) visits per year • Targeted laboratory tests for the routine management of hypertension Please note, if you have complications from hypertension and use an emergency department or urgent care center, have a Hospital stay, or get treatment for heart and kidney disease, services will be subject to standard Out-of-Pocket Out‐of‐Pocket Costs as outlined in your Schedule of Benefits.

Appears in 1 contract

Samples: Member Benefit Agreement

Hypertension. The following services related to hypertension are covered with $0 Out-of-Pocket Cost when linked to a primary diagnosis of hypertension and performed by a Network Provider: • Office visits to a Primary Care Provider for routine management of hypertension • Office visits to a Cardiologist (heart specialist) for consultation and routine management of Hypertension • Office visits to a Nephrologist (kidney specialist) for consultation and routine management of Hypertension • Palliative care conversations (chronic condition treatment preferences) with Primary Care Provider, Cardiologist, or Nephrologist • Nutritional counseling up to six (6) 12 visits per year • Targeted laboratory tests for the routine management of hypertension SAMPLE Please note, if you have complications from hypertension and use an emergency department or urgent care center, have a Hospital stay, or get treatment for heart and kidney disease, services will be subject to standard Out-of-Pocket Costs as outlined in your Schedule of Benefits.

Appears in 1 contract

Samples: Benefit Agreement

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Hypertension. The following services related to hypertension are covered with $0 Out-of-Pocket Cost when linked to a primary diagnosis of hypertension and performed by a Network Provider: SAMPLE • Office visits to a Primary Care Provider for routine management of hypertension • Office visits to a Cardiologist (heart specialist) for consultation and routine management of Hypertension • Office visits to a Nephrologist (kidney specialist) for consultation and routine management of Hypertension • Palliative care conversations (chronic condition treatment preferences) with Primary Care Provider, Cardiologist, or Nephrologist • Nutritional counseling up to six (6) visits per year • Targeted laboratory tests for the routine management of hypertension Please note, if you have complications from hypertension and use an emergency department or urgent care center, have a Hospital stay, or get treatment for heart and kidney disease, services will be subject to standard Out-of-Pocket Costs as outlined in your Schedule of Benefits.

Appears in 1 contract

Samples: Member Benefit Agreement

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