Common use of Organ and Tissue Transplants Clause in Contracts

Organ and Tissue Transplants. As described in this section, the Plan provides Benefits for Medically Necessary organ and tissue transplant procedures. Your Provider will work with our registered nurses and Physician advisors to evaluate your condition and determine the Medical Necessity of a transplant procedure. Covered transplants include: heart, heart/lung, lung, islet tissue, liver, adrenal gland, bone, cartilage, muscle, skin, tendon, heart valve, blood vessel, parathyroid, kidney, cornea, allogeneic bone marrow, pancreas, and autologous bone marrow. No other organ or tissue transplant is covered. The Plan does not provide Benefits for any services related to a transplant that is not covered. The Plan provides Benefits for organ and tissue transplant donors only if (1) the donor is a Member or the donor does not have similar Benefits available from another source, and (2) the recipient is a Member. When the donor is eligible for coverage under the Plan, the Plan provides Benefits for medical expenses of a live donor to the extent that benefits remain and are available under the recipient’s policy, after benefits for the recipient’s expenses have been paid.

Organ and Tissue Transplants. As described in this section, the Plan provides Benefits for Medically Necessary organ and tissue transplant procedures. Your Provider will work with our registered nurses and Physician advisors to evaluate your condition and determine the Medical Necessity Neces sity of a transplant procedure. Covered transplants include: heart, heart/heart/ lung, lung, islet tissue, liver, adrenal gland, bone, cartilage, muscle, skin, tendon, heart valve, blood vessel, parathyroid, kidney, cornea, allogeneic bone marrow, pancreas, and autologous bone marrow. No other organ or tissue transplant is covered. The Plan does not provide Benefits for any services related to a transplant that is not covered. SAMPLE The Plan provides Benefits for organ and tissue transplant donors only if (1) the donor is a Member or the donor does not have similar Benefits available from another source, and (2) the recipient is a Member. When the donor is eligible for coverage under the Plan, the Plan provides Benefits for medical expenses of a live donor to the extent that benefits remain and are available under the recipient’s policy, after benefits for the recipient’s expenses have been paid.the

Organ and Tissue Transplants. As described in this section, the Plan provides Benefits for Medically Necessary organ and tissue transplant procedures. Your Provider will work with our registered nurses and Physician advisors to evaluate your condition and determine the Medical Necessity of a transplant procedure. Covered transplants include: include heart, heart/lung, lung, islet tissue, liver, adrenal gland, bone, cartilage, muscle, skin, tendon, heart valve, blood vessel, parathyroid, kidney, cornea, allogeneic bone marrow, pancreas, and autologous bone marrow. No other organ or tissue transplant is covered. The Plan does not provide Benefits for any services related to a transplant that is not covered. The Plan provides Benefits for organ and tissue transplant donors only if (1) the donor is a Member or the donor does not have similar Benefits available from another source, and (2) the recipient is a Member. When the donor is eligible for coverage under the Plan, the Plan provides Benefits for medical expenses of a live donor to the extent that benefits remain and are available under the recipient’s policy, after benefits for the recipient’s expenses have been paid.