Non-emergency services Sample Clauses

Non-emergency services. No benefit will be payable with respect to non-emergency, experimental or elective services, including any Treatment, surgery or medication which medical evidence indicates that the Insured Person could have returned to Canada to receive.
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Non-emergency services. If you are traveling outside of the Ambetter of Illinois insured by Celtic Insurance Company service area you may be able to access providers in another state if there is an Ambetter plan located in that state. You can locate Ambetter providers outside of Illinois by searching the relevant state in our Provider Directory at Xxxxx.XxxxxxxxXxxxxx.xxx. Not all states have Ambetter plans. If you receive care from an Ambetter provider outside of the service area, you may be required to receive prior authorization for non-emergency services. Contact Member Services at the phone number on your member identification card for further information.
Non-emergency services. Non-emergency, experimental or elective treatment (e.g. cosmetic treatment, regular care of a chronic medical condition or any treatment or surgery that is not required for relief of acute pain or suffering).
Non-emergency services. If you go to an emergency room for what is not an emergency medical condition, the plan may not cover your expenses. See the schedule of benefits for more information.
Non-emergency services. If you go to an emergency room for what is not an emergency medical condition, the plan may not cover your expenses. See the schedule of benefits for this information. Covered services include a mechanical device or special footwear, ordered by your physician, to support or brace weak or ineffective joints or muscles of the foot. Visit xxxxx://xxx.xxxxx.xxx/health-care-professionals/clinical-policy-bulletins.html for detailed information about this benefit, including eligibility and medical necessity requirements. You can also call the toll-free number on your ID card. Habilitation therapy services help you keep, learn, or improve skills and functioning for daily living (e.g. therapy for a child who isn’t walking or talking at the expected age). The services must follow a specific treatment plan, ordered by your physician. The services have to be performed by a: • Licensed or certified physical, occupational, or speech therapist • Hospital, skilled nursing facility, or hospice facilityHome health care agency • Physician • Physical therapy if it is expected to develop any impaired function • Occupational therapy if it is expected to develop any impaired function • Speech therapy if it is expected to develop speech function that resulted from delayed development (Speech function is the ability to express thoughts, speak words and form sentences.) The following are not covered services: • Services provided in an educational or training setting or to teach sign languageVocational rehabilitation or employment counseling Covered services include home health care provided by a home health care agency in the home, but only when all of the following criteria are met: • You are homebound • Your physician orders them • The services take the place of a stay in a hospital or a skilled nursing facility, or you are unable to receive the same services outside your home • The services are a part of a home health care plan • The services are skilled nursing services, home health aide services or medical social services, or are short-term speech, physical or occupational therapy • Home health aide services are provided under the supervision of a registered nurse • Medical social services are provided by or supervised by a physician or social worker If you are discharged from a hospital or skilled nursing facility after a stay, the intermittent requirement may be waived to allow coverage for continuous skilled nursing services. See the schedule of benefits for more info...
Non-emergency services. Therapist self-care is vital to ensure the highest quality of care is provided to our clients. You must be aware that therapists will not answer emails or phone calls after hours or on the weekends. We are an outpatient practice and therefore do not provide emergency psychotherapeutic services or transportation 0000 Xxxxxx Xx., Suite 200 Denver, CO 80212 ⌑ Phone: 000-000-0000 ⌑ Fax: 000-000-0000 ⌑ xxx.XxxxxxxxXxxxxxXxxxxx.xxx to/from the hospital. The therapists at The Mariposa Center provide non-emergency services during stated business hours and by scheduled appointment only. Therapists will return calls during stated business hours only. If you must seek after-hours treatment from any counseling agency or center, emergency room, or hospital, you understand that you remain solely responsible for any fees that arise from that care. (Initial)
Non-emergency services. Therapist self-care is vital to ensure the highest quality of care is provided to our clients. It is important that you be aware that therapists will not answer emails or phone calls after hours or on the weekends. We are an outpatient practice and therefore do not provide emergency psychotherapeutic services or transportation to/from the hospital. The therapists at The Mariposa Center provide non-emergency services during stated business hours and by scheduled appointment only. Therapists will return calls during stated business hours only. If you must seek after hours treatment from any counseling agency or center, emergency room, or hospital, you understand that you remain solely responsible for any fees that arise from that care. (Initial)
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Non-emergency services. Fairchild will prepare a bid for the services to be rendered. If it accepts the bid, National will issue a Purchase Order.
Non-emergency services. Services provided to an enrollee who has presentation of medical signs and symptoms to a health care provider.

Related to Non-emergency services

  • Emergency Services The parties recognize that in the event of a strike or lockout, situations may arise of an emergency nature. To this end, the Employer and the Union will agree to provide services of an emergency nature.

  • Emergency Service If you are unable to reach Administrator at 877.634.0964 and you require emergency repair, you may contact any manufacturer authorized service repair facility listed in Your phone book or online. Mail Administrator Your original repair bill along with the technician’s report and a copy of the Agreement to the address at the top of this Agreement for reimbursement. All coverage and exclusions in this Agreement will apply.

  • Emergency Services Leave (a) An Employee who engages in a voluntary emergency management activity is entitled to be absent without loss of pay from his or her employment for a total of 5 days per annum commencing at the start of each calendar year. For the avoidance of doubt, any days not utilised by the Employee by the end of the calendar year, do not carry over into the subsequent year. (b) Voluntary emergency management activity has the meaning provided by the FWA.

  • Emergency Service Leave Where employees' services are required for emergency operations by request from Provincial Emergency Programs or appropriate police authority, leave from work as required may be granted without loss of basic pay. If any remuneration, other than for expenses, is received, it shall be remitted to the Employer.

  • Developer Compensation for Emergency Services If, during an Emergency State, the Developer provides services at the request or direction of the NYISO or Connecting Transmission Owner, the Developer will be compensated for such services in accordance with the NYISO Services Tariff.

  • Emergency Care If you need emergency care, call 911 or go to the nearest hospital emergency room. If you are traveling outside our service area and need urgent care, call the Customer Service number provided in the chart above or visit our website and use the “Find A Doctor” feature to find a BlueCard provider.

  • Emergency Room Services This plan covers services received in a hospital emergency room when needed to stabilize or initiate treatment in an emergency. If your condition needs immediate or urgent, but non-emergency care, contact your PCP or use an urgent care center. This plan covers bandages, crutches, canes, collars, and other supplies incidental to your treatment in the emergency room as part of our allowance for the emergency room services. Additional services provided in the emergency room such as radiology or physician consultations are covered separately from emergency room services and may require additional copayments. The amount you pay is based on the type of service being rendered. Follow-up care services, such as suture removal, fracture care or wound care, received at the emergency room will require an additional emergency room copayment. Follow- up care services can be obtained from your primary care provider or a specialist. See Dental Services in Section 3 for information regarding emergency dental care services.

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Emergency Contact Information Resident must complete and provide to University an emergency contact information form provided by University Housing before Resident will be allowed to move into the Residence Facility.

  • Emergency Situations If the condition is an emergency, this will be communicated to the Contractor with the request that corrections are to be accomplished immediately. The Contractor shall respond to the notice in emergency situations within twenty-four hours. If the Contractor fails to respond within this time limit, the Owner may correct the defect and charge the Contractor for the Work. If it is determined the complaint is not the responsibility of the Contractor, the Contractor shall be promptly paid for the cost of the corrective work. The Contractor shall give notice in writing to the Owner when corrections have been completed.

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