Common use of Osteoporosis Clause in Contracts

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. In an effort to manage quality and cost for Our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling Customer Service at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. Hospital outpatient department or Freestanding Ambulatory Facility charges are Covered Services as outlined in the • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o having a family history: ▪ with one or more first or second-degree relatives with ovarian cancer; ▪ of clusters of women relatives with breast cancer; ▪ of nonpolyposis; ▪ colorectal cancer; or ▪ testing positive for BRCA1 or BRCA2 mutations.

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. OUTPATIENT SERVICES • Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. • In an effort to manage quality and cost for Our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the inIn-network Network status of a Provider. Members may verify network status by visiting Our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling Customer Service or calling Client Services at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. OUTPATIENT SURGERY Hospital outpatient department or Freestanding Ambulatory Facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-Network and Out-of-Network cost-sharing apply accordingly. OVARIAN CANCER SURVEILLANCE TESTS • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o ° having a family history: ▪ □ with one or more first or second-degree relatives with ovarian cancer; ▪ □ of clusters of women relatives with breast cancer; ▪ □ of nonpolyposis; ▪ □ colorectal cancer; or ▪ □ testing positive for BRCA1 or BRCA2 mutations.. • Surveillance tests means annual screening using: ° CA-125 serum tumor marker testing; ° transvaginal ultrasound; and ° pelvic examinations. PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY Services by a Physician, a registered physical therapist (R.P.T.), or licensed occupational or speech therapist (O.T. and/or S.T.), limited to combined total maximum visits per calendar year as outlined in the Summary of Benefits and Coverage. All services rendered must be within the lawful scope of practice of, and rendered personally by, the individual Provider. PHYSICIAN SERVICES You may receive treatment from an In-Network or Out-of-Network Provider except where indicated. However, payment is significantly reduced, or not covered, if services are received from an Out-of-Network Provider. Such services are subject to applicable Deductible and Out-of- Pocket requirements. As an Alliant member, You can choose a provider from within Our network by visiting XxxxxxxXxxxx.xxx. You also may contact Alliant Client Services at (000) 000-0000 and a representative will help You locate an In-Network Provider or Practitioner. After selecting a provider, You may contact the provider’s office to schedule an appointment. PREVENTIVE CARE Preventive Care services include outpatient services and office services. Screenings and other services are covered as Preventive Care for adults and children with no current symptoms or prior history of a medical condition associated with that screening or service. Members who have current symptoms or have been diagnosed with a medical condition are not considered to require preventive care for that condition but instead benefits will be considered under the diagnostic services benefit. Preventive care services in this section shall meet requirements as determined by federal and state law. Many preventive care services are covered by Your policy with no Deductible, Copayments or Coinsurance from the Member when provided by an In-Network Provider. That means Alliant pays 100% of the allowed amount. These services fall under four broad categories as shown below:

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. OUTPATIENT SERVICES • Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. • In an effort to manage quality and cost for Our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling Customer Service or calling Client Services at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. OUTPATIENT SURGERY Hospital outpatient department or Freestanding Ambulatory Facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-network and out-of-network cost-sharing apply accordingly. OVARIAN CANCER SURVEILLANCE TESTS • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o ° having a family history: ▪ □ with one or more first or second-degree relatives with ovarian cancer; ▪ □ of clusters of women relatives with breast cancer; ▪ □ of nonpolyposis; ▪ □ colorectal cancer; or ▪ □ testing positive for BRCA1 or BRCA2 mutations.. • Surveillance tests means annual screening using: ° CA-125 serum tumor marker testing; ° transvaginal ultrasound; and ° pelvic examinations. PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY Services by a Physician, a registered physical therapist (R.P.T.), or licensed occupational or speech therapist (O.T. and/or S.T.), limited to combined total maximum visits per calendar year as outlined in the Summary of Benefits and Coverage. All services rendered must be within the lawful scope of practice of, and rendered personally by, the individual Provider. PHYSICIAN SERVICES You may receive treatment from an In-Network or Out-of-Network Provider except where indicated. However, payment is significantly reduced, or not covered, if services are received from an Out-of-Network Provider. Such services are subject to applicable Deductible and Out-of- Pocket requirements. As an Alliant member, You can choose a provider from within Our network by visiting XxxxxxxXxxxx.xxx. You also may contact Alliant Client Services at (000) 000-0000 and a representative will help You locate an In-Network Provider or Practitioner. After selecting a provider, You may contact the provider’s office to schedule an appointment. PREVENTIVE CARE Preventive Care services include outpatient services and office services. Screenings and other services are covered as Preventive Care for adults and children with no current symptoms or prior history of a medical condition associated with that screening or service. Members who have current symptoms or have been diagnosed with a medical condition are not considered to require preventive care for that condition but instead benefits will be considered under the diagnostic services benefit. Preventive care services in this section shall meet requirements as determined by federal and state law. Many preventive care services are covered by Your policy with no Deductible, Copayments or Coinsurance from the Member when provided by an In-Network Provider. That means Alliant pays 100% of the allowed amount. These services fall under four broad categories as shown below:

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-non- hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. In an effort to manage quality and cost for Our membersMembers, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member Member to verify the in-network status of a Provider. Members may verify network status by visiting Our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling or calling Customer Service at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment Copayment, and benefit limitation information. Hospital outpatient department or Freestanding Ambulatory Facility freestanding ambulatory facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-Network and Out-of-Network cost sharing apply accordingly. • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o having a family history: ▪ with one or more first or second-degree relatives with ovarian cancer; ▪ of clusters of women relatives with breast cancer; ▪ of nonpolyposis; ▪ colorectal cancer; or ▪ o testing positive for BRCA1 or BRCA2 mutations.

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. OUTPATIENT SERVICES • Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. • In an effort to manage quality and cost for Our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling Customer Service or calling Client Services at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. OUTPATIENT SURGERY Hospital outpatient department or Freestanding Ambulatory Facility charges are Covered Services as outlined in the OVARIAN CANCER SURVEILLANCE TESTS • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o ° having a family history: ▪ □ with one or more first or second-degree relatives with ovarian cancer; ▪ □ of clusters of women relatives with breast cancer; ▪ □ of nonpolyposis; ▪ □ colorectal cancer; or ▪ □ testing positive for BRCA1 or BRCA2 mutations.. • Surveillance tests means annual screening using: ° CA-125 serum tumor marker testing; ° transvaginal ultrasound; and ° pelvic examinations. PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY Services by a Physician, a registered physical therapist (R.P.T.), or licensed occupational or speech therapist (O.T. and/or S.T.), limited to combined total maximum visits per calendar year as outlined in the Summary of Benefits and Coverage. All services rendered must be within the lawful scope of practice of, and rendered personally by, the individual Provider. PHYSICIAN SERVICES You may receive treatment from an In-Network Provider. Such services are subject to applicable Deductible and Out-of-Pocket requirements. However, payment is not covered if services are received from an Out-of-Network Provider. As an Alliant member, You can choose a provider from within Our network by visiting XxxxxxxXxxxx.xxx. You also may contact Alliant Client Services at (000) 000-0000 and a representative will help You locate an In-Network Provider or Practitioner. After selecting a provider, You may contact the provider’s office to schedule an appointment. PREVENTIVE CARE Preventive Care services include outpatient services and office services. Screenings and other services are covered as Preventive Care for adults and children with no current symptoms or prior history of a medical condition associated with that screening or service. Members who have current symptoms or have been diagnosed with a medical condition are not considered to require preventive care for that condition but instead benefits will be considered under the diagnostic services benefit. In-Network Preventive care services in this section shall meet requirements as determined by federal and state law. Many preventive care services are covered by Your policy with no Deductible, Copayments or Coinsurance from the Member when provided by an In-Network Provider. That means Alliant pays 100% of the allowed amount. These services fall under four broad categories as shown below:

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-non- hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. In an effort to manage quality and cost for Our our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling or calling Customer Service at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. Hospital outpatient department or Freestanding Ambulatory Facility freestanding ambulatory facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-network and out-of-network cost sharing apply accordingly. • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o having a family history: ▪  with one or more first or second-degree relatives with ovarian cancer; ▪  of clusters of women relatives with breast cancer; ▪  of nonpolyposis; ▪  colorectal cancer; or ▪ o testing positive for BRCA1 or BRCA2 mutations.

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-non- hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. In an effort to manage quality and cost for Our our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling Customer Service or calling customer service at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. Hospital outpatient department or Freestanding Ambulatory Facility freestanding ambulatory facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-network and out-of-network cost sharing apply accordingly. • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o having a family history: ▪  with one or more first or second-degree relatives with ovarian cancer; ▪  of clusters of women relatives with breast cancer; ▪  of nonpolyposis; ▪  colorectal cancer; or ▪ o testing positive for BRCA1 or BRCA2 mutations.

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-non- hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. In an effort to manage quality and cost for Our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling or calling Customer Service at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. Hospital outpatient department or Freestanding Ambulatory Facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-network and out-of-network cost-sharing apply accordingly • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o having a family history: ▪ with one or more first or second-degree relatives with ovarian cancer; ▪ of clusters of women relatives with breast cancer; ▪ of nonpolyposis; ▪ colorectal cancer; or ▪ o testing positive for BRCA1 or BRCA2 mutations.

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-non- hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. In an effort to manage quality and cost for Our our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling Customer Service or calling customer service at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. Hospital outpatient department or Freestanding Ambulatory Facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-network and out-of-network cost-sharing apply accordingly • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o having a family history: ▪ with one or more first or second-degree relatives with ovarian cancer; ▪ of clusters of women relatives with breast cancer; ▪ of nonpolyposis; ▪ colorectal cancer; or ▪ o testing positive for BRCA1 or BRCA2 mutations.

Osteoporosis. Benefits will be provided for qualified individuals for reimbursement for scientifically proven bone mass measurement (bonedensity bone density testing) for the prevention, diagnosis and treatment of osteoporosis for Members meeting Alliant’s criteria. Outpatient services include facility, ancillary, facility-use, and professional charges when received as an outpatient at a Hospital,, Hospital freestanding facility, Retail Health Clinic, or other Provider as determined by Alliant. These facilities may include a non-non- hospital site or other Provider facility providing surgery, diagnostic, x-rays, laboratory services, therapy, or rehabilitation services. In an effort to manage quality and cost for Our our members, Alliant reserves the right to establish Preferred or In-Network Providers for certain services. To determine if a Preferred Provider exists, it is the responsibility of the member to verify the in-network status of a Provider. Members may verify network status by visiting Our our Find-A-Provider tool on XxxxxxxXxxxx.xxx orcalling or calling Customer Service at (000) 000-0000. See the Summary of Benefits and Coverage for any applicable Deductible, Coinsurance, Copayment and benefit limitation information. Hospital outpatient department or Freestanding Ambulatory Facility charges are Covered Services as outlined in the Summary of Benefits and Coverage. In-network and out-of-network cost-sharing apply accordingly • Covered Services are provided for at risk women 35 years of age and older. At risk women are defined as: o having a family history: ▪  with one or more first or second-degree relatives with ovarian cancer; ▪  of clusters of women relatives with breast cancer; ▪  of nonpolyposis; ▪  colorectal cancer; or ▪ o testing positive for BRCA1 or BRCA2 mutations.