Morbid Obesity Sample Clauses

Morbid Obesity. The Plan provides Benefits for surgery for an intestinal bypass, gastric bypass, or gastroplasty for treatment of Morbid Obesity. The Plan does not provide Benefits for weight loss medication.
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Morbid Obesity. Benefits are provided for Medically Necessary surgical services for the treatment of Morbid Obesity, as determined by CareFirst BlueChoice. The procedures must be recognized by the National Institutes of Health as effective for the long-term reversal of Morbid Obesity and consistent with guidelines approved by the National Institutes of Health. Benefits are subject to the same terms and conditions as other Medically Necessary surgical procedures. Surgical treatment of Morbid Obesity shall occur at a facility that is designated by the American Society for Metabolic and Bariatric Surgery as a Bariatric Surgery Center of Excellence and is designated by CareFirst BlueChoice.
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Morbid Obesity. The insured person is not covered for the costs of treatment for, or related to, morbid obesity. The insured person is not covered for costs arising from or relating to removing fat or surplus healthy tissue from any part of the body.
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Morbid Obesity. (Ind. Code §§ 27-8-14.4 and 27-13-7-14.5): (1) A body mass index of at least thirty-five (35) kilograms per meter squared, with co morbidity or co- existing medical conditions such as hypertension, cardiopulmonary conditions, sleep apnea, or diabetes; or (2) A body mass index of at least forty (40) kilograms per meter squared without co-morbidity.
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Morbid Obesity. Defined as: A) A body mass index (equals weight in kilograms divided by height in meters squared) of at least thirty-five
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Morbid Obesity. A. Benefits are available for the surgical treatment of Morbid Obesity. The procedures must be recognized by the National Institutes of Health as effective for the long-term reversal of morbid obesity and are consistent with guidelines approved by the National Institutes of Health. B. Morbid Obesity means a body mass index that is: 1. Greater than 40 kilograms per meter squared; or 2. Equal to or greater than 35 kilograms per meter squared with a comorbid medical condition, including hypertension, a cardiopulmonary condition, sleep apnea or diabetes. C. As used above, body mass index (BMI) means a practical marker used to assess the degree of obesity and is calculated by dividing the weight in kilograms by the height in meters squared.
Sample 1
Morbid Obesity. The HMO and medical home sites must have clear procedures for addressing the complex needs of members with these conditions, including, but not limited to, referrals to appropriate specialists and community resources. Develop guidelines to ensure that screening for social factors (that could have a negative impact on pregnancy outcome and newborn health) is a routine part of care to the pregnant and postpartum member. The guidelines should address the following: 1) Integrating initial and periodic screening into information gathering; 2) Incorporating identified social needs (and strengths) into the comprehensive care plan; 3) Effective strategies for addressing social factors, including the following; A) Identifying pertinent community resources, including personal supports; B) Referral to community health worker services; C) Developing effective working/referral relationships with these resources; D) Communication and information sharing (e.g., obtaining written authorization from the member where necessary); E) Obtaining periodic feedback from members and community resources to ensure identified resources continue to be relevant and appropriate. 4) Systematic electronic tracking and follow-up on community and social determinants of health referrals to ensure referral completion. Actively support and promote patient self-management. Demonstrate cultural competency among provider and office staff. Documentation Requirement The medical home should retain electronic documentation to support the provision of the medical home services outlined in this section of the contract.
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Related to Morbid Obesity

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  • Communicable Diseases Upon recommendation of the Medical Officer of Health, all employees shall be required, on an annual basis to be vaccinated and or to take antiviral medication for influenza. If the costs of such medication are not covered by some other sources, the Employer will pay the cost for such medication. If the employee fails to take the required medication, she may be placed on an unpaid leave of absence during any influenza outbreak in the home until such time as the employee has been cleared by the public health or the employer to return to the work environment. The only exception to this would be employees for whom taking the medication will result in the employee being physically ill to the extent that she cannot attend work. Upon written direction from the employee’s physician of such medical condition in consultation with the Employer’s physician, (if requested), the employee will be permitted to access their sick bank, if any, during any outbreak period. If there is a dispute between the physicians, the employee will be placed on unpaid leave. If the employee gets sick as a reaction to the drug and applies for WSIB the Employer will not oppose the application. If an employee is pregnant and her physician believes the pregnancy could be in jeopardy as a result of the influenza inoculation and/or the antiviral medication she shall be eligible for sick leave in circumstances where she is not allowed to attend at work as a result of an outbreak.

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