Initial Selection of a Personal Physician Sample Clauses

Initial Selection of a Personal Physician. Each covered family member is required to select a Personal Physician at the time of enrollment. This decision is an important one because your Personal Physician will: • Help you decide on actions to maintain and improve your total health; • Coordinate and direct all of your medical care needs; • Work with your Medical Group/IPA to arrange your referrals to Plan Specialists, hospitals and all other health services, including requesting any prior authorization you will need ; • Authorize emergency services when appropriate; • Prescribe those lab tests, x-rays and services you require, and; • If you request it, assist you in obtaining prior approval from the MHSA for Mental Health Services*. *See the Mental Health Services section for information. To ensure access to services, each Member must select a Personal Physician who is located sufficiently close to the Member’s home or work address to ensure reasonable access to care, as determined by Blue Shield. If you do not select a current Personal Physician at the time of enrollment, the Plan will designate a Personal Physician for you and you will be notified. This designation will remain in effect until you notify the Plan of your selection of a different Personal Physician. A Personal Physician must also be selected for a newborn or newly adopted dependent, preferably prior to birth or adoption, but always within 31 days from the date of birth or adoption. The Personal Physician selected for the month of birth must be in the same Medical Group or IPA as the mother’s Personal Physician when the newborn is the natural child of the mother. If the mother of the newborn is not enrolled as a Member or if the child has been placed with the Subscriber for adoption, the Personal Physician selected must be a physician in the same Medical Group or IPA as the Subscriber. If you do not select a Personal Physician within 31 days following the birth or adoption, the Plan will designate a Personal Physician from the same Medical Group or IPA as the natural mother or the Subscriber. This designation will remain in effect for the first calendar month during which the birth or adoption occurred. If you want to change the Personal Physician for the child after the month of birth or adoption, see the section below on “Changing Personal Physicians”. If your child is ill during the first month of coverage, be sure to read the information about changing Personal Physicians during a course of treatment or hospitalization. Remember...
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Related to Initial Selection of a Personal Physician

  • DEPENDENT PERSONAL SERVICES 1. Subject to the provisions of Articles 16, 18 and 19, salaries, wages and other similar remuneration derived by a resident of a Contracting State in respect of an employment shall be taxable only in that State unless the employment is exercised in the other Contracting State. If the employment is so exercised, such remuneration as is derived therefrom may be taxed in that other State.

  • Oregon Public Service Retirement Plan Pension Program Members For purposes of this Section 2, “employee” means an employee who is employed by the State on or after August 29, 2003 and who is not eligible to receive benefits under ORS Chapter 238 for service with the State pursuant to Section 2 of Chapter 733, Oregon Laws 2003.

  • Leave of Absence for Employees Who Serve as Local Coordinators for the Ontario Nurses' Association An employee who serves as Local Coordinator for the Ontario Nurses' Association shall be granted leave of absence without pay up to a total of thirty-five (35) days annually. Leave of absence for Local Coordinators for the Ontario Nurses' Association will be separate from the Union leave provided in (a) above.

  • Restricted Employment for Certain State Personnel Contractor acknowledges that, pursuant to Section 572.069 of the Texas Government Code, a former state officer or employee of a state agency who during the period of state service or employment participated on behalf of a state agency in a procurement or contract negotiation involving Contractor may not accept employment from Contractor before the second anniversary of the date the Contract is signed or the procurement is terminated or withdrawn.

  • STATEWIDE PAYEE DESK Contractor represents and warrants that it is registered with the Statewide Payee Desk, which registration is a condition to payment.

  • Outpatient emergency and urgicenter services within the service area The emergency room copay applies to all outpatient emergency visits that do not result in hospital admission within twenty-four (24) hours. The urgicenter copay is the same as the primary care clinic office visit copay.

  • Child or Elder Care Emergencies Leave without pay, compensatory time or paid leave may be granted for child or elder care emergencies.

  • Leave of Absence for College Committees An employee whose assigned work schedule would prevent her/him from attending meetings of a college committee to which s/he has been elected or appointed, will be granted a leave of absence from her/his regular duties without loss of pay or other entitlements to attend such meeting(s). Where such leave is granted, the employer will replace the employee as necessary. Costs arising from this provision will not be charged against the program area of the participating employee.

  • Medical Appointment for Pregnant Employees 35.9.1 Up to three decimal seven five (3.75) hours of reasonable time off with pay for each appointment will be granted to pregnant employees for the purpose of attending routine medical appointments.

  • INDEPENDENT PERSONAL SERVICES 1. Income derived by a resident of a Contracting State in respect of professional services or other activities of an independent character shall be taxable only in that State except in the following circumstances, when such income may also be taxed in the other Contracting State:

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