Orthotics. To the extent described in Section SC - Schedule of Cost Sharing, Benefits include participation in a diabetes outpatient self-management training and education program under the supervision of a licensed health care professional with expertise in diabetes. Coverage for self-management education and education relating to diet and prescribed by a licensed Physician shall include: 1. Medically Necessary and Appropriate visits upon the diagnosis of diabetes; and 2. visits when a Physician identifies or diagnoses a significant change in the patient’s symptoms or conditions that necessitates changes in a patient’s self-management and when a new medication or therapeutic process relating to the patient’s treatment and/or management of diabetes has been identified as Medically Necessary and Appropriate by a licensed Physician
Appears in 10 contracts
Samples: Individual Hmo Subscriber Agreement, Hmo Subscriber Agreement, Hmo Subscriber Agreement
