Local Community Needs Clause Samples

Local Community Needs. Where a Member’s treating Physician believes that a Member requires certain medical services and the Department of Health has determined that such services are not available from another source locally other than from a UPMC Provider that is an Out-of-Network Provider under this Agreement, the Member may receive Covered Services from such UPMC Provider. Covered Services shall be available at the Standard Value level of benefits.
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Local Community Needs. Highmark members will continue to have ongoing access to unique UPMC providers and services where the patient’s treating physician believes the patient needs such services and the Department of Health (DOH) determines that they are not available from another source, and the member is out-of-network. UPMC will not balance bill the member and Highmark and UPMC will negotiate a payment that is not greater than out-of-network rates established by the Consent Decree. Highmark members will have ongoing access to UPMC services, providers facilities and physicians for cancer treatment, as if in-network, if a patient’s treating physician makes the determination that a patient who is diagnosed with cancer should be treated by a UPMC oncologist and the patient agrees. UPMC and Highmark shall negotiate an agreement for treatment of illnesses which result from cancer treatment. That may include mental health, endocrinology, orthopedics and cardiology. This includes all UPMC joint ventures, physician services provided at or on behalf of independent hospitals (whether related to oncology or not), including services provided through Hillman and at Magee. Services shall be considered in-network and UPMC shall not balance bill consumers until this agreement is resolved. (Note: Last Friday, UPMC released a statement that UPMC ▇▇▇▇▇▇▇ Cancer Center is not in-network. We will contact you when this is resolved).
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Related to Local Community Needs

  • Management; Community Policies Owner may retain employees and management agents from time to time to manage the Property, and Owner’s agent may retain other employees or contractors. Resident, on behalf of himself or herself and his or her Guests, agrees to comply fully with all directions from Owner and its employees and agents, and the rules and regulations (including all amendments and additions thereto, except those that substantially modify the Resident’s bargain and to which Resident timely objects) as contained in this Agreement and the Community Policies of the Property. The Community Policies are available at ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/policies.pdf or on request from the management office and are considered part of this Agreement.

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

  • Residence Community Living Standards The Residence Community Living Standards (“RCLS”) forms a part of this Agreement. It details the rights, responsibilities, and privileges of Residents as well as the residence conduct process. Each Resident is responsible for reading, understanding, and adhering to the terms outlined within the RCLS. The Manager and the Institution may amend the terms of the RCLS from time to time and may post the amendments in the Residence. Failure to abide by the RCLS may result in eviction from Residence and termination of this Agreement as per the violations and sanctions outlined in the RCLS, and as stated in section 8.01(d). The RCLS can be found online at: ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.

  • Extended Health Care Plan ‌ The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable extended health care plan.

  • Department of Housing and Urban Development Iowa Civil Rights Commission ▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇