Medical Services. We do not Cover medical services or dental services that are medical in nature, including any Hospital charges or prescription drug charges.
Medical Services. The following Services shall be rendered and/or provided by Specialty Emergency Services at its sole discretion, upon the occurrence of a Medical Condition befalling the Member, up to the limits provided for in this Agreement.
Medical Services. 15-1 The School District agrees to pay the cost of periodic x-rays or other medically accepted TB tests required for School District employment when administered by the Xxxxx County Health Department.
15-2 The School District further agrees to provide to teachers, free of charge, routine immunizations and booster vaccinations for smallpox, influenza, and diphtheria.
Medical Services. (i) River cruise ships do not carry a doctor on board (except in Russia), however medical services may be called at Your own expense.
(ii) Due to the large number of passengers on board, We cannot provide a personal escort for medical visits.
(iii) We are not, and our Service Providers and the Operators are not, liable regarding the provision of any medical care You may require or choose to accept during your Tour.
Medical Services. No substitute teacher, except qualified public health nurses, shall be required to dispense, administer, or supervise the taking of medication by a student, or to perform medical procedures other than first aid.
Medical Services. The Contractor is required to comply with the requirements of ATTACHMENT A in-plan benefits for medically necessary services. These services will be provided by the Contractor as in-plan benefits.
Medical Services. The Organiser is responsible for the provision of medical services according to the latest issue of the FIS Medical Guide which can be downloaded from xxxxx://xxx.xxx-xxx.xxx/en/inside-fis/governance/medical-iss
Medical Services. Any liability arising out of the rendering or failure to render medical services including the provision of treatment or management of illness or injury by any doctor, medically trained personnel or hyberbaric technicians other than:
a) the rendering of first aid by any medically unqualified person; or
b) emergency first response by a diver medic or certified first aid attendant. Provided that the insurer will not be liable where indemnity is provided by other insurance.
Medical Services. The Member, a designated representative, or a provider on behalf of the Member, may contact the Customer Service Department by telephone, letter, or online to request a review of an initial determination concerning a claim or service. Members may contact the plan at the telephone number as noted on the back page of this Evidence of Coverage and Health Service Agreement. If the telephone inquiry to Customer Service does not resolve the question or issue to the Member’s satisfaction, the Member may request a grievance at that time, which the Customer Service Representative will initiate on the Member’s behalf. The Member, a designated representative, or a provider on behalf of the Member may also initiate a grievance by submitting a letter or a completed “Grievance Form”. The Member may request this Form from Customer Service. The completed form should be submitted to Customer Service Appeals and Grievance, P.O. Box 5588, El Dorado Hills, CA 95762-0011. The Member may also submit the grievance online by visiting xxx.xxxxxxxxxxxx.xxx. Blue Shield will acknowledge receipt of a grievance within five calendar days. Grievances are resolved within 30 days. The grievance system allows Subscribers to file grievances for at least 180 days following any incident or action that is the subject of the Member’s dissatisfaction. Members can request an expedited decision when the routine decision making process might seriously jeopardize the life or health of a Member, or when the Member is experiencing severe pain. Blue Shield shall make a decision and notify the Member and Physician as soon as possible to accommodate the Member’s condition not to exceed 72 hours following the receipt of the request. An expedited decision may involve admissions, continued stay, or other healthcare services. For additional information regarding the expedited decision process, or to request an expedited decision be made for a particular issue, please contact Customer Service.
Medical Services. Medical and health care services provided to a Patient, including, but not limited to, medical and health care services provided to a Patient and performed by Borrower which are covered by a policy of insurance issued by an Insurer, and includes physician services, nurse and therapist services, dental services, hospital services, skilled nursing facility services, comprehensive outpatient rehabilitation services, home health care services, residential and out-patient behavioral healthcare services, and medicine or health care equipment provided by Borrower to a Patient for a necessary or specifically requested valid and proper medical or health purpose.
