Medical Assistance Services. Medical Referrals Medical Consultation and Monitoring Medical Transportation
Medical Assistance Services. By: By: (Signature) (Signature) Name: Name: (Print) (Print) Title: Title: Date: Date:
Medical Assistance Services. The medical assistance services provided pursuant to this Services Agreement are as follows:
(i) Medical referral: AXA Assistance USA will refer the Eligible Person to preferred providers including primary care physicians, clinics and hospitals all over the world. Primary care physicians are defined as referrals to the following: family practitioners, general practitioners, internists, ophthalmologists, obstetricians/gynecologists, orthopedists, and pediatricians. The Eligible Person will be given the name, address, telephone number, office hours, and if applicable, language(s) spoken by the provider. The nature of the situation, location of the caller, and time of the day will influence whether a referral is made to an individual provider or to a hospital/emergency care facility. AXA Assistance USA will also provide referrals to medical specialists in major cities and nearby areas using specific selection criteria. Specialists are defined as physicians other than those previously identified as primary care physicians. Some examples of specialists include allergists, cardiologists and endocrinologists. Arrangements for services are available at no additional cost. Third party costs incurred for services provided are the responsibility of the Eligible Person.
(ii) Dental referrals: AXA Assistance USA will provide referrals to dentists and facilities that provide emergency dental care in accordance with established selection criteria. If AXA Assistance USA receives a request for dental referrals in any area of the world in which AXA does not recommend seeking dental treatment, the Eligible Person will be so informed. If appropriate, the Eligible Person will be provided with referrals to physicians or hospitals for pain control. Arrangements for services are available at no additional cost. Third party costs incurred for services provided are the responsibility of the Eligible Person.
Medical Assistance Services. The medical assistance services uncertainty about appropriateness of care, recommendations for
Medical Assistance Services. We or Our Assistance Service Provider will provide assistance or advice to the Insured person, of the description specified below, in relation to a medical emergency: • Medical Practitioner/Hospital Referral We or Our Assistance Service Provider will provide, upon request, with the name, address, telephone number and, if available, office hours of Medical Practitioners, Hospitals, or any clinics, dentists and dental clinics (collectively "Medical Service Providers"). The final selection of any Medical Practitioner, Hospital, or Medical Service Provider shall be at the discretion of the Insured Person. While We or Our Assistance Service Provider shall exercise care and diligence in making any referrals, We or Our Assistance Service Provider shall not be responsible for any medical diagnosis or treatment provided by such Medical Practitioners, Hospitals, or Medical Service Providers, and cannot guarantee their quality.
Medical Assistance Services. As specified in 18 NYCRR Sections 494.5(b) and 505.35(h)(1), Medical Assistance services include personal care services; home health aide services; personal emergency response services; nursing services; physical therapy; occupational therapy; speech therapy; medical supplies and equipment not requiring prior approval; and adult day health care provided in a program approved by the Commissioner of Health. The Provider is responsible for assuring that Medical Assistance services provided in the Assisted Living Program are furnished only to those Medical Assistance recipients who meet the eligibility requirements for the Assisted Living Program, as specified in 18 NYCRR Section 494.4 and with respect to whom the Social Services District has prior authorized payment for Medical Assistance services. The Provider will comply with such other provisions of 18 NYCRR Sections 494.4(h) and 505.35 as well as any other provisions of the Department's or the Department of Health's regulations as are relevant to the provision of services to Medical Assistance recipients participating in the Assisted Living Program.
Medical Assistance Services provides emergency response in any major language • referrals to an appropriate physician, clinic or hospital • confirms you have coverage • guarantees or arranges payment to the hospital or physician for eligible expenses • provides assistance in contacting your family, place of business or family physician • supervises the medical treatment and keeps the family informed • arranges for transportation of a family member to the patient’s bedside • arranges for transportation home of the patient
Medical Assistance Services. This Grant Agreement is only to be used for services that are not compensable under the Medical Assistance program.
Medical Assistance Services. The medical assistance services uncertainty about appropriateness of care, recommendations for rates between the U.S. and most major currencies, and weather Legally Qualified Physician and verified in writing. Transportation must provided pursuant to this Agreement are as follows: discharge or clearance to fly or because s/he feels the AXA physician forecasts for major cities around the world.
Medical Assistance Services. ANNEX II SCOPE OF SERVICE
1.1. The Services set out in this Section 1.1 of Annex II (Scope of Service) will be provided by Intl.SOS 24 hours a day, 365 days a year upon request of any Authorized Person or Member who shall contact an Intl.SOS Assistance Center in accordance with the Operations and Xxxxxxxx Procedure. If the Services are requested by Members, Intl.SOS shall require the authorization of the Authorized Persons before delivering such Services. The Subscriber shall pay to Intl.SOS the Reimbursements in respect of such Services.
1.2. Intl.SOS services are not a substitute for local emergency services
a. Evacuation and repatriation
i. Intl.SOS will arrange for the air and/or surface transportation, medical care during transportation, communications and shall pay or arrange to guarantee to pay on behalf of the Subscriber, all usual and customary ancillary charges incurred in moving and transporting a Member from the local point of initial medical care to the nearest hospital where appropriate medical care is available, that may be a location other than the Member’s Home Country or Country of Assignment. Intl.SOS services are not a substitute for local emergency services.
ii. Intl.SOS will arrange for the transport of the Member to the Home Country or Country of Assignment following a medical evacuation for subsequent in-patient hospitalisation or rehabilitative treatment.
iii. When Intl.SOS undertakes a medical transportation, Intl.SOS will recommend to the Subscriber the most appropriate timing, means or method by which such evacuation or repatriation will be carried out, the medical supervision requirements and location option(s) to which the Member should be evacuated. In making such arrangements, Intl.SOS may consider all relevant circumstances, including but not limited to the Member’s medical condition, the degree of urgency, the Member’s fitness to travel, airport availability, weather conditions, local law and regulatory requirements, travel distance and whether transportation will be provided by private medically equipped aircraft, helicopter, regular scheduled flight, rail, water or land vehicle. The Subscriber will then make an authorization determination on this basis. Intl.SOS reserves the right not to undertake the medical transportation service if it is deemed in the opinion of Intl.SOS to be detrimental to the patient’s or crew’s health, safety or if in contravention to local law or regulatory requirements.
