Organ, Tissue, and Bone Marrow Transplant Benefits Sample Clauses

Organ, Tissue, and Bone Marrow Transplant Benefits. Because this policy is a limited Benefits policy, You should ask for Our Authorization to evaluate whether You are suitable for all solid organ and bone marrow transplants and procedures. For this Contract, We consider all autologous procedures to be transplants. Before You are Admitted to a Hospital for a proposed transplant procedure, You or Your Provider should give Us adequate information so that We may check that You are covered.
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Organ, Tissue, and Bone Marrow Transplant Benefits. Our Authorization is required for the evaluation of a Member’s suitability for all solid organ and bone marrow transplants and procedures. For the purposes of coverage under the Contract, all autologous procedures are considered transplants. Solid organ and bone marrow transplants will not be covered unless the Member obtains written Authorization from Us prior to services being rendered. The Member or his Provider must advise Us of the proposed transplant procedure prior to Admission and a written request for Authorization must be filed with Us. We must be provided with adequate information so that We may verify coverage, determine that Medical Necessity is documented, and approve of the Hospital at which the transplant procedure will occur. We will forward written Authorization to the Member and to the Provider(s).
Organ, Tissue, and Bone Marrow Transplant Benefits. 1. Benefits for solid organ and bone marrow transplants are available only when services are rendered by a Blue Distinction Centers for Transplants (BDCT) for the specific organ or transplant or by a Blue Cross and Blue Shield of Louisiana (BCBSLA) Preferred Provider facility, unless otherwise approved by Us in writing. To locate an approved transplant facility, Members should contact Our Customer Service Department at the number listed on their ID card.

Related to Organ, Tissue, and Bone Marrow Transplant Benefits

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