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 the initial orthotic device and subsequent replacement that your physician orders and administers to support or brace weak or ineffective joints or muscles of the foot. We will cover the same type devices that are covered by Medicare. Your provider will tell us which device best fits your need. But we cover it only if we preauthorize the device. Orthotic device means a customized medical device applied to a part of the body to:  Correct a deformity  Improve function  Relieve symptoms of a disease Coverage Includes:  Repairing or replacing the original device. Examples of these are: ‒ Repairing or replacing the original device you outgrow or that is no longer appropriate because your physical condition changed ‒ Replacements required by ordinary wear and tear or damage  Instruction and other services (such as attachment or insertion) so you can properly use the device. 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  Fitting and dispensing services and ear molds necessary to maintain optimal fit of hearing aids  Treatment related to hearing aids and cochlear implants, including: ‒ Habilitation and rehabilitation necessary for educational gain ‒ For cochlear implants, an external speech processor and controller  Internal replacement of cochlear implants as medically necessary or audiologically necessary  Audiometric hearing visit and evaluation for a hear...
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.
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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)
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)

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 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.

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