Common use of Organ and Tissue Transplants Clause in Contracts

Organ and Tissue Transplants. A. Coverage is provided for all Medically Necessary, non-Experimental/Investigational bone marrow, solid organ transplant, and other non-solid organ transplant procedures. Medical Necessity is determined by CareFirst BlueChoice. Except for cornea transplants and kidney transplants, prior authorization must be obtained from CareFirst BlueChoice. B. Covered Services include the following: 1. The expenses related to registration at transplant facilities. The place of registry is subject to review and determination by CareFirst BlueChoice. 2. Organ procurement charges including harvesting, recovery, preservation, and transportation of the donated organ. 3. Cost of hotel lodging and air transportation for the recipient Member and a companion (or the recipient Member and two companions if the recipient Member is under the age of eighteen (18) years) to and from the site of the transplant. 4. There is no limit on the number of re-transplants that are covered. 5. If the Member is the recipient of a covered organ/tissue transplant, CareFirst BlueChoice will cover the Donor Services (as defined below) to the extent that the services are not covered under any other health insurance plan or contract.

Organ and Tissue Transplants. A. Coverage is provided for all Medically Necessary, non-Experimental/Investigational bone marrow, solid organ transplant, and other non-solid organ transplant procedures. Medical Necessity is determined by CareFirst BlueChoice. Except for cornea corneal transplants and kidney transplants, prior authorization must be obtained from CareFirst BlueChoice. B. Covered Services services include the following: 1. The expenses related to registration at transplant facilities. The place of registry is subject to review and determination by CareFirst BlueChoice. 2. Organ procurement charges including harvesting, recovery, preservation, and transportation of the donated organ. 3. Cost of hotel lodging and air transportation for the recipient Member and a companion (or the recipient Member and two companions if the recipient Member is under the age of eighteen (18) years) to and from the site of the transplant. 4. There is no limit on the number of re-transplants that are covered. 5. If the Member is the recipient of a covered organ/tissue transplant, CareFirst BlueChoice will cover the Donor Services (as defined below) to the extent that the services are not covered under any other health insurance plan or contract. SAMPLE 6. Immunosuppressant maintenance drugs are covered when prescribed for a covered transplant.

Organ and Tissue Transplants. SAMPLE A. Coverage is provided for all Medically Necessary, non-Experimental/Investigational bone marrow, solid organ transplant, and other non-solid organ transplant procedures. Medical Necessity is determined by CareFirst BlueChoice. Except for cornea transplants and kidney transplants, prior authorization must be obtained from CareFirst BlueChoice. B. Covered Services include the following: 1. The expenses related to registration at transplant facilities. The place of registry is subject to review and determination by CareFirst BlueChoice. 2. Organ procurement charges including harvesting, recovery, preservation, and transportation of the donated organ. 3. Cost of hotel lodging and air transportation for the recipient Member and a companion (or the recipient Member and two companions if the recipient Member is under the age of eighteen (18) years) to and from the site of the transplant. 4. There is no limit on the number of re-transplants that are covered. 5. If the Member is the recipient of a covered organ/tissue transplant, CareFirst BlueChoice will cover the Donor Services (as defined below) to the extent that the services are not covered under any other health insurance plan or contract.

Organ and Tissue Transplants. A. Coverage is provided for all Medically Necessary, non-Experimental/Investigational bone marrow, solid organ transplant, and other non-solid organ transplant procedures. Medical Necessity is determined by CareFirst BlueChoice. Except for cornea transplants and kidney transplants, prior authorization must be obtained from CareFirst BlueChoice. B. Covered Services include the following:: SAMPLE 1. The expenses related to registration at transplant facilities. The place of registry is subject to review and determination by CareFirst BlueChoice. 2. Organ procurement charges including harvesting, recovery, preservation, and transportation of the donated organ. 3. Cost of hotel lodging and air transportation for the recipient Member and a companion (or the recipient Member and two companions if the recipient Member is under the age of eighteen (18) years) to and from the site of the transplant. 4. There is no limit on the number of re-transplants that are covered. 5. If the Member is the recipient of a covered organ/tissue transplant, CareFirst BlueChoice will cover the Donor Services (as defined below) to the extent that the services are not covered under any other health insurance plan or contract.

Organ and Tissue Transplants. A. Coverage is provided for all Medically Necessary, non-Experimental/Investigational bone marrow, solid organ transplant, and other non-solid organ transplant procedures. Medical Necessity is determined by CareFirst BlueChoice. Except for cornea transplants and kidney transplants, prior authorization must be obtained from CareFirst BlueChoice. B. Covered Services include the following: 1. The expenses related to registration at transplant facilities. The place of registry is subject to review and determination by CareFirst BlueChoice.. Sample 2. Organ procurement charges including harvesting, recovery, preservation, and transportation of the donated organ. 3. Cost of hotel lodging and air transportation for the recipient Member and a companion (or the recipient Member and two companions if the recipient Member is under the age of eighteen (18) years) to and from the site of the transplant. 4. There is no limit on the number of re-transplants that are covered. 5. If the Member is the recipient of a covered organ/tissue transplant, CareFirst BlueChoice will cover the Donor Services (as defined below) to the extent that the services are not covered under any other health insurance plan or contract.