Manipulative Therapy. Covered subject to the applicable outpatient services Copayment for Self-Referrals to a GHC Provider for manipulative therapy of the spine and extremities in accordance with GHC clinical criteria up to a maximum of ten (10) visits per Member per calendar year. When approved by GHC, additional manipulation visits are covered subject to the applicable outpatient services Copayment.
Appears in 3 contracts
Samples: Coverage Agreement, Coverage Agreement, Medical Coverage Agreement
Manipulative Therapy. Covered subject to the lesser of GHC’s charge or the applicable outpatient services Copayment for Self-Referrals to a GHC Provider for manipulative therapy of the spine and extremities in accordance with GHC clinical criteria up to a maximum of ten (10) visits per Member per calendar year. When approved by GHC, additional manipulation visits are covered subject to the applicable outpatient services Copayment.
Appears in 1 contract
Samples: Coverage Agreement