Mammogram. The insurance program will reimburse for one (1) mammogram each year at the usual and customary rate with no participant contribution required.
Mammogram. This Service Enhancement Fee is payable to the FHN and calculated annually on an individual FHN physician basis based on the percentage of female Enrolled Patients rostered to the FHN Physician who are between 50 and 70 years of age, are not excluded from the target population (as set out below), and who have had a mammogram in the previous 24 months as of March 31, 2004 or in the previous 30 months as of March 31, 2005 and every subsequent March 31 thereafter. Percentage of Enrolled Patients Fee Payable Service Enhancement Code 55% $220 Q110 60% $440 Q111 65% $770 Q112 70% $1320 Q113 75% $2200 Q114 The following Enrolled Patients are excluded from the target population for mammograms:
Mammogram. This is a covered expense under this Program. When covered, age forty (40) years and older, one Mammogram procedure per year. For females under age forty (40), one Mammogram procedure per year only if determined to be Medically Necessary. Additional Mammogram procedures will be covered only if determined to be Medically Necessary. See also Routine Physical Exams for Coverage. Mastectomy ;tŽûUY’C ,UǍnIS ǍYE ǍYÐUd ZsÖSICJ This is a covered expense under this Program. For members receiving mastectomy-related benefits, coverage will be provided in a manner determined in consultation with the attending Physician and the patient, for: x All stages of reconstruction of the breast on which the mastectomy was performed; x Surgery and reconstruction of the other breast to produce a symmetrical appearance; x Prostheses; and x Treatment of physical complications of the mastectomy, including lymphedema. These benefits will be provided subject to the same Deductible and Coinsurance applicable to other medical and surgical benefits provided under this Plan. If you would like more information on WHCRA benefits, call your Plan Administrator. See also Reconstructive Surgery.
Mammogram. 4. Prostate examination All test results shall be kept confidential by the Township and will be forwarded to the Employee's personal physician.
