Obstetrical and Gynecological Services Sample Clauses

Obstetrical and Gynecological Services. Including prenatal, labor and delivery and postpartum services are covered with respect to pregnancy. You do not need your PCP’s authorization for care related to pregnancy if you seek care from a qualifed Participating Provider of obstetric and gynecologic services. You may also receive the following services from a qualifed Participating Provider of obstetric and gynecologic services without your PCP’s authorization: • Up to two annual examinations for primary and preventive obstetric and gynecologic care; and • Care required as a result of the annual examinations or as a result of an acute gynecological condition.
Sample 1
AutoNDA by SimpleDocs
Obstetrical and Gynecological Services. You may receive the following services from a qualified Participating Provider of obstetric and gynecologic services without your PCP's authorization:
Sample 1
Obstetrical and Gynecological Services. We will pay for obstetrical and gynecological services, including prenatal, labor and delivery and postpartum services with respect to pregnancy. You do not need your PCP’s authorization for care related to pregnancy if you seek care from a qualified participating provider of obstetric and gynecologic services. You may also receive the following services for a qualified participating provider of obstetric and gynecologic services without your PCP’s authorization: • Up to two annual examinations for primary and preventive obstetric and gynecologic care • Care required as a result of the annual examinations or as a result of an acute gynecological condition
Sample 1

Related to Obstetrical and Gynecological Services

  • Medical Services We do not Cover medical services or dental services that are medical in nature, including any Hospital charges or prescription drug charges.

  • Emergency Medical Services The City’s Fire Department and MedStar (or other entity engaged by the City after the Effective Date) will provide emergency medical services.

  • Prosthodontics We Cover prosthodontic services as follows: • Removable complete or partial dentures, for Members 15 years of age and above, including six (6) months follow-up care; • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate; and • Interim prosthesis for Members five (5) to 15 years of age. We do not Cover implants or implant related services. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full complement of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias. Procedures include but are not limited to: • Rapid Palatal Expansion (RPE); • Placement of component parts (e.g. brackets, bands); • Interceptive orthodontic treatment; • Comprehensive orthodontic treatment (during which orthodontic appliances are placed for active treatment and periodically adjusted); • Removable appliance therapy; and • Orthodontic retention (removal of appliances, construction and placement of retainers).

Time is Money Join Law Insider Premium to draft better contracts faster.