Nutritional Counseling. Nutritional counseling is covered. It must be prescribed by a physician and performed by a registered dietitian/nutritionist. Nutritional counseling visits may be covered for individuals seeking nutritional information, or for the purpose of treating an illness.
Nutritional Counseling. The Plan provides Benefits for nutritional counseling when required for a diagnosed medical condition.
Nutritional Counseling. Individual- ized nutritional evaluation and counseling for the management of any medical condition for which appropriate diet and eating habits are essential to the overall treatment program is covered when ordered by a physician or physician extender and provided by a licensed health-care professional (e.g., a registered dietitian);
Nutritional Counseling. The Plan provides Benefits for nutritional counseling provided by a licensed dietician when medically necessary for a diagnosed medical or behavioral health condition. Community Health Options may require documentation of a treatment plan and coordination of treatment with the Member’s primary medical and behavioral health providers or treatment team. Preventive services up to 6 visits will be covered at $0 cost share.
Nutritional Counseling. (7) Skilled behavioral health care services provided in the home by a behavioral health provider when ordered by a physician and directly related to an active treatment plan of care established by the physician. All of the following must be met: − The skilled behavioral health care is appropriate for the active treatment of a condition, sickness or disease to avoid placing the covered person at risk for serious complications. − The services are in lieu of a continued confinement in a hospital or residential treatment facility, or receiving outpatient services outside of the home. − The covered person is homebound because of sickness or injury. − The services provided are not primarily for comfort or convenience or custodial in nature. − The services are intermittent or hourly in nature. − The services are not for Applied Behavior Analysis. Benefits for home health care visits are payable up to the home health care maximum. Each visit by a nurse, behavioral health provider, or therapist is one visit. In figuring the policy year maximum visits, each visit of a: • nurse or therapist, of up to 4 hours, is one visit and • behavioral health provider, of up to 1 hour, is one visit. This maximum will not apply to care given by an R.N. or L.P.N. when: • Care is provided within 7 days of discharge from a hospital or skilled nursing facility as a full-time inpatient; and • Care is needed to transition from the hospital or skilled nursing facility to home care. When the above criteria are met, covered medical expenses include up to 12 hours of continuous care by an R.N. or L.P.N. per day. Whether or not someone is available to give care does not determine whether the services are covered for home health care. The absence of a person to perform a non-skilled or custodial care service does not cause the service to become covered. If the covered person is a minor or an adult who is dependent upon others for non-skilled care (e.g., bathing, eating, toileting), home health care services will only be covered during times when: • there is a family member or caregiver present in the home, and • the family member or caregiver can meet the covered person’s non-skilled needs.
Nutritional Counseling. Individual- ized nutritional evaluation and counseling as for the management of any medical condition for which appropriate diet and eating habits are essential to the overall treatment program when ordered by a physician or physician extender and provided by a licensed health- care professional (e.g., a registered dietitian), up to three (3) sessions annually with a reg- istered dietitian, with physician order. The maximum may be exceeded for an additional three (3) sessions, upon prior authorization by the medical plan, if services beyond the maximum limit are medically necessary. Does not cover individualized nutritional evaluation and counseling for the manage- ment of conditions where appropriate diet and eating habits have not been proven to be essential to the overall treatment program because they are not considered to be medi- cally necessary. Conditions for which nutri- tional evaluation and counseling are not con- sidered to be medically necessary include, but are not limited to, the following:
Nutritional Counseling. If checked, provider recommends two nutritional counseling sessions as a part of the patient’s wellness goals to promote a healthier lifestyle. * Applies to employees enrolled in the Patient Centered Medical Home (PCMH) Plan only. I/PATIENT HAVE THE FOLLOWING CONDITION(S) AND A FOLLOW-UP APPOINTMENT HAS BEEN SCHEDULED. (Mark all that apply) ☐ Asthma ☐ Chronic kidney disease ☐ Chronic obstructive pulmonary disease ☐ Coronary artery disease ☐ Diabetes ☐ Depression ☐ Hypertension
Nutritional Counseling. Call 000-000-0000 to schedule for an appointment with a dietitian. ProMedica Xxxx Xxxxx Xxxxxxx Diabetes Center, Toledo ProMedica Bay Park Hospital, Oregon ProMedica Xxxxxxx and Xxxxxxxx Xxxxxxx Hospital, Adrian ProMedica Defiance Regional Hospital, Defiance SMOKING CESSATION ProMedica Fostoria Community Hospital, Fostoria ProMedica Memorial Hospital, Fremont ProMedica Monroe Regional Hospital, Monroe Select the location nearest you, and call to schedule your appointment with a certified tobacco treatment specialist. Or, send us an email at XxxxxxxXxxxxxxxx@xxxxxxxxx.xxx. ProMedica Toledo Hospital, 000-000-0000 ProMedica Xxxxxxx and Xxxxxxxx Xxxxxxx Hospital Adrian, Michigan 000-000-0000 ProMedica Fostoria Community Hospital Fostoria, Ohio 000-000-0000 ProMedica Monroe Regional Hospital Monroe, Michigan 000-000-0000 Xxxxx County Frontpath Plan locations: NUTRITIONAL COUNSELING Call 000-000-0000 to schedule for an appointment with a ProMedica dietician at a ProMedica location listed below. ProMedica Xxxx Xxxxx Xxxxxxx Diabetes Center, Toledo ProMedica Bay Park Hospital, Oregon ProMedica Xxxxxxx and Xxxxxxxx Xxxxxxx Hospital, Adrian ProMedica Defiance Regional Hospital, Defiance Mercy Health, Sunforest Ct. Suite 000 000-000-0000 Xxxxxx County Health Center, 000-000-0000 SMOKING CESSATION ProMedica Fostoria Community Hospital, Fostoria ProMedica Memorial Hospital, Fremont ProMedica Monroe Regional Hospital, Monroe UTMC, 000-000-0000 Wood County Hospital, 000-000-0000 Select the location nearest you, and call to schedule your appointment with a certified tobacco treatment specialist. Mercy Tobacco Education/Smoking Cessation 000-000-0000 ProMedica Toledo Hospital Toledo, Ohio419-291-8034 ProMedica Xxxxxxx and Xxxxxxxx Xxxxxxx Hospital
Nutritional Counseling. Is covered, as Medically Necessary.
Nutritional Counseling. Nutritional counseling is not subject to visit limitations. Services related to a healthy diet to prevent obesity are covered as Preventive Services. After Deductible, Member pays nothing Deductible does not apply to first 3 office visits with primary care providers per calendar year Exclusions: Nutritional supplements; weight control self-help programs or memberships, such as Weight Watchers, Xxxxx Xxxxx, or other such programs; pre and post bariatric surgery nutritional counseling Nutritional Therapy Dietary formula for the treatment of phenylketonuria (PKU). After Deductible, Member pays nothing Enteral therapy (elemental formulas) for malabsorption and an eosinophilic gastrointestinal associated disorder. Necessary equipment and supplies for the administration of enteral therapy are covered as Devices, Equipment and Supplies. After Deductible, Member pays nothing Parenteral therapy (total parenteral nutrition). Necessary equipment and supplies for the administration of parenteral therapy are covered as Devices, Equipment and Supplies. After Deductible, Member pays nothing Exclusions: Any other dietary formulas or medical foods; oral nutritional supplements not related to the treatment of inborn errors of metabolism; special diets; and prepared foods/meals Obesity Related Services Services directly related to obesity, including bariatric surgery. Services related to obesity screening and counseling are covered as Preventive Services. Not covered; Member pays 100% of all charges Exclusions: Obesity treatment and treatment for morbid obesity for any reason including any medical services, drugs, supplies or any bariatric surgery (such as gastroplasty, gastric banding or intestinal bypass), regardless of co- morbidities, except as described above; specialty treatment programs such as weight control self-help programs or memberships, such as Weight Watchers, Xxxxx Xxxxx or other such programs; medications and related physician visits for medication monitoring; pre and post bariatric surgery nutritional counseling Oncology Radiation therapy, chemotherapy, oral chemotherapy. See Infusion Therapy for infused medications. Oral Chemotherapy Drugs: After Deductible, Member pays nothing up to a 90-day supply Radiation Therapy and Chemotherapy: After Deductible, Member pays nothing Deductible does not apply to first 3 office visits with primary care providers per calendar year Optical (adult vision) Members age 19 and over – routine eye examinations and refractions,...
