Common use of Oncology Services Clause in Contracts

Oncology Services. Where a Member’s treating Physician determines that a Member, who has been diagnosed with cancer, should be treated by a UPMC Provider who renders oncology services and who is an Out-of-Network Provider under this Agreement, the Member may, at his/her option, request treatment from such UPMC Provider. Covered Services shall be available at the Standard Value level of benefits. Treatment includes care for illnesses resulting from such cancer treatment such as, but not limited to, mental health, endocrinology, orthopedics and cardiology. The need for a treatment of a resulting illness shall be determined, in the first instance, by the Member’s treating Physician acting in consultation with and in accordance with the wishes of the Member or the Member’s authorized representative.

Oncology Services. Where a Member’s treating Physician determines that a Member, who has been diagnosed with cancer, should be treated by a UPMC Provider who renders oncology services and who is an Out-of-Network Provider under this Agreement, the Member may, at his/her option, request treatment from such UPMC Provider. Covered Services shall be available at the Standard Value Network Services level of benefits. Treatment includes care for illnesses resulting from such cancer treatment such as, but not limited to, mental health, endocrinology, orthopedics and cardiology. The need for a treatment of a resulting illness shall be determined, in the first instance, by the Member’s treating Physician acting in consultation with and in accordance with the wishes of the Member or the Member’s authorized representative.

Oncology Services. Where a Member’s treating Physician determines that a Member, who has been diagnosed with cancer, should be treated by a UPMC Provider who renders oncology services and who is an Out-of-Network Provider under this Agreement, the Member may, at his/her option, request treatment from such UPMC Provider. Covered Services shall be available at the Standard Value level of benefits. Treatment includes care for illnesses resulting from such cancer treatment such as, but not limited to, mental health, endocrinology, orthopedics and cardiology. The need for a treatment of a resulting illness shall be determined, in the first instance, by the Member’s treating Physician acting in consultation with and in accordance with the wishes of the Member or the Member’s authorized representative...