Office Visits. The Plan provides Benefits for office visits to Providers. Office visits include visits to retail health clinics and walk-in centers and are covered as Office Visits. Services at a retail health clinic are limited to basic health care services to Members on a walk-in basis. These clinics are normally found in major pharmacies and retail stores. Services are typically provided by nurse practitioners or physician’s assistants and without an appointment. Services are limited to routine care and treatment of common illnesses for adults and children. Services rendered during an office visit, such as medical exams, management of therapy, injections, surgery and anesthesia, may be subject to additional charges beyond office visit Out-of-Pocket Costs. When available in the Member’s area, the Plan provides coverage that will include online visit services. Covered Services include a medical consultation. The Plan does not cover communications used for: reporting normal lab or other test results, office appointment requests, billing, insurance coverage or payment questions, requests for referrals to Providers outside the online care panel, benefit precertification, physician to physician consultation. Please refer to the “Telehealth” provisions for additional or different services available.
Appears in 3 contracts
Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement
Office Visits. The Plan provides Benefits for office visits to Providers. Office visits include visits to retail health clinics and walk-walk- in centers and are covered as Office Visits. Services at a retail health clinic are limited to basic health care services to Members on a walk-in basis. These clinics are normally found in major pharmacies and retail stores. Services are typically provided by nurse practitioners or physician’s assistants and without an appointment. Services are limited to routine care and treatment of common illnesses for adults and children. children Services rendered during an office visit, such as medical exams, management of therapy, injections, surgery and anesthesia, may be subject to additional charges beyond office visit Out-of-Pocket Costs. When available in the Member’s area, the Plan provides coverage that will include online visit services. Covered Services include a medical consultation. The Plan does not cover communications used for: reporting normal lab or other test results, office appointment requests, billing, insurance coverage or payment questions, requests for referrals to Providers outside the online care panel, benefit precertification, physician to physician consultation. Please refer to the “Telehealth” provisions for additional or different services availableavailable and applicable requirements.
Appears in 1 contract
Samples: Member Benefit Agreement
Office Visits. The Plan provides Benefits for office visits to Providers. Office visits include visits to retail health clinics and walk-walk- in centers and are covered as Office Visits. Services at a retail health clinic are limited to basic health care services to Members on a walk-in basis. These clinics are normally found in major pharmacies and retail stores. Services are typically provided by nurse practitioners or physician’s assistants and without an appointment. Services are limited to routine care and treatment of common illnesses for adults and children. Services rendered during an office visit, such as medical exams, management of therapy, injections, surgery and anesthesia, may be subject to additional charges beyond office visit Out-of-Pocket Costs. When available in the Member’s area, the Plan provides coverage that will include online visit services. Covered Services include a medical consultation. The Plan does not cover communications used for: reporting normal lab or other test results, office appointment requests, billing, insurance coverage or payment questions, requests for referrals to Providers outside the online care panel, benefit precertification, physician to physician consultation. Please refer to the “Telehealth” provisions for additional or different services available.
Appears in 1 contract
Samples: Member Benefit Agreement
Office Visits. The Plan provides Benefits for office visits to Providers. Office visits include visits to retail health clinics and walk-in centers and are covered as Office Visits. Services at a retail health clinic are limited to basic health care services to Members on a walk-in basis. These clinics are normally found in major pharmacies and retail stores. Services are typically provided by nurse practitioners or physician’s assistants and without an appointment. Services are limited to routine care and treatment of common illnesses for adults and children. Services rendered during an office visit, such as medical exams, management of therapy, injections, surgery and anesthesia, may be subject to additional charges beyond office visit Out-of-Pocket Costs. SAMPLE When available in the Member’s area, the Plan provides coverage that will include online visit services. Covered Services include a medical consultation. The Plan does not cover communications used for: reporting normal lab or other test results, office appointment requests, billing, insurance coverage or payment questions, requests for referrals to Providers outside the online care panel, benefit precertification, physician to physician consultation. Please refer to the “Telehealth” provisions for additional or different services available.
Appears in 1 contract
Samples: Member Benefit Agreement