Common use of Orthotic Appliances Clause in Contracts

Orthotic Appliances. Orthotic devices or appliances means any rigid or semi-rigid device needed to support a weak or deformed body part or to restrict or eliminate body movement. Coverage for orthotic appliances is limited to custom-made leg, arm, back, and neck braces when related to a surgical procedure or when used in an attempt to avoid surgery and is necessary to carry out normal activities of daily living, excluding sports activities. Coverage includes the initial purchase, fitting, or adjustment. Replacements are covered only when Medically Necessary due to a change in bodily configuration. All other orthotic appliances are not covered. The determination of whether a covered item will be paid under the DME, orthotics or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.

Appears in 4 contracts

Samples: Individual and Family Engage, www.avmed.org, www.avmed.org

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Orthotic Appliances. Orthotic devices or appliances means any rigid or semi-rigid device needed to support a weak or deformed body part or to restrict or eliminate body movement. Coverage for orthotic appliances is limited to custom-made leg, arm, back, back and neck braces braces, when related to a surgical procedure or when used in an attempt to avoid surgery surgery, and is necessary to carry out normal activities of daily living, living excluding sports activities. Coverage includes the initial purchase, fitting, fitting or adjustment. Replacements are covered only when Medically Necessary due to a change in bodily configuration. All other orthotic appliances are not covered. The determination of whether a covered item will be paid under the DME, orthotics orthotics, or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.

Appears in 3 contracts

Samples: www.avmed.org, www.avmed.org, www.avmed.org

Orthotic Appliances. Orthotic devices or appliances means any rigid or semi-rigid device needed to support a weak or deformed body part or to restrict or eliminate body movement. Coverage for orthotic appliances is limited to custom-made leg, arm, back, back and neck braces braces, when related to a surgical procedure or when used in an attempt to avoid surgery surgery, and is necessary to carry out normal activities of daily living, living excluding sports activities. Coverage includes the initial purchase, fitting, or adjustment. Replacements are covered only when Medically Necessary due to a change in bodily configuration. All other orthotic appliances are not covered. The determination of whether a covered item will be paid under the DME, orthotics orthotics, or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.

Appears in 1 contract

Samples: www.avmed.org

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Orthotic Appliances. Orthotic devices or appliances means any rigid or semi-rigid device needed to support a weak or deformed body part or to restrict or eliminate body movement. Coverage for orthotic appliances is limited to custom-made leg, arm, back, back and neck braces braces, when related to a surgical procedure or when used in an attempt to avoid surgery surgery, and is necessary to carry out normal activities of daily living, living excluding sports activities. Coverage includes the initial purchase, fitting, fitting or adjustment. Replacements are covered only when Medically Necessary due to a change in bodily configuration. All other orthotic appliances are not covered. The determination of whether a covered item will be paid under the DME, orthotics or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.

Appears in 1 contract

Samples: www.avmed.org

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