Common use of Medical Expenses Clause in Contracts

Medical Expenses. Specialty Emergency Services undertakes to pay for all approved, reasonable charges for medical treatment, diagnosis and advice provided to the Member provided that: 3.1.1 such services were provided during the period of the Membership Agreement; 3.1.2 they are in accordance with the terms and conditions of the Membership Agreement; 3.1.3 such services were approved and medically necessary; 3.1.4 such services were prescribed by and administered by a properly qualified and licensed doctor; 3.1.5 such services were authorised by Specialty Emergency Services; 3.1.6 if medical services were provided in South Africa or worldwide, as a result of a medical emergency or non-emergency, such charges will be paid at the RAMS Tariff only, subject to approval by Specialty Emergency Services.

Medical Expenses. Specialty Emergency Services undertakes to pay for all approved, reasonable charges for medical treatment, diagnosis and advice provided to the Member provided that: 3.1.1 such services were provided during the period of the Membership Agreement; 3.1.2 they are in accordance with the terms and conditions of the Membership Agreement; 3.1.3 such services were approved and medically necessary; 3.1.4 ; such services were prescribed by and administered by a properly qualified and licensed doctor; 3.1.5 3.1.4 such services were authorised by Specialty Emergency Services; 3.1.6 3.1.5 if medical services were provided in South Africa or worldwide, as a result of a medical emergency or non-emergency, such charges will be paid at the RAMS Tariff SES rates, based on market related rates only, subject to approval by Specialty Emergency Services.

Medical Expenses. Specialty Emergency Services undertakes to pay for all approved, reasonable charges for medical treatment, diagnosis and advice provided to the Member provided that: 3.1.1 such services were provided during the period of the Membership Agreement; 3.1.2 they are in accordance with the terms and conditions of the Membership Agreement; 3.1.3 such services were approved and medically necessary; 3.1.4 such services were prescribed by and administered by a properly qualified and licensed doctor; 3.1.5 such services were authorised by Specialty Emergency Services; 3.1.6 if medical services were provided in South Africa or worldwide, as a result of a medical emergency or non-emergency, such charges will be paid at the RAMS Tariff SES rates, based on market related rates only, subject to approval by Specialty Emergency Services.

Medical Expenses. Specialty Emergency Services undertakes to pay for all approved, reasonable charges for medical treatment, diagnosis and advice provided to the Member provided that: 3.1.1 such services were provided during the period of the Membership Agreement; 3.1.2 they are in accordance with the terms and conditions of the Membership Agreement; 3.1.3 such services were approved and medically necessary; 3.1.4 ; such services were prescribed by and administered by a properly qualified and licensed doctor; 3.1.5 3.1.4 such services were authorised by Specialty Emergency Services; 3.1.6 3.1.5 if medical services were provided in South Africa or worldwide, as a result of a medical emergency or non-emergency, such charges will be paid at the RAMS Tariff only, subject to approval by Specialty Emergency Services.

Medical Expenses. Specialty Emergency Services undertakes to pay for all approved, reasonable charges for medical treatment, diagnosis and advice provided to the Member provided that: 3.1.1 such services were provided during the period of the Membership Agreement; 3.1.2 they are in accordance with the terms and conditions of the Membership Agreement; 3.1.3 such services were approved and medically necessary; 3.1.4 such services were prescribed by and administered by a properly qualified and licensed doctor; 3.1.5 such services were authorised by Specialty Emergency Services; 3.1.6 if medical services were provided in South Africa or worldwide, as a result of a medical emergency or non-emergency, such charges will be paid at the RAMS Tariff onlySES rates, based on market related rates, subject to approval by Specialty Emergency Services.