Common use of Other Health Care Facility Clause in Contracts

Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, including Skilled Nursing Facilities, are covered up to a combined maximum of 60 post- hospitalization days per calendar year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does not apply to treatment of mental health and substance use disorders.

Appears in 4 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

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Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, including Skilled Nursing Facilities, are covered up to a combined maximum of 60 post- hospitalization days per calendar year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does not apply to ; excluding treatment of mental health and substance use disorders.

Appears in 2 contracts

Samples: Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract

Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, Facilities including Skilled Nursing Facilities, Facilities are covered up to a combined maximum of 60 post- post-hospitalization days per calendar yearCalendar Year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does not apply to excluding treatment of mental health and substance use disordersdisorders (see Section 10.8).

Appears in 2 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract

Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, including Skilled Nursing Facilities, are covered up to a combined maximum of 60 20 post- hospitalization days per calendar yearCalendar Year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does not apply to treatment of mental health and substance use disorders.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, including Skilled Nursing Facilities, are covered up to a combined maximum of 60 post- hospitalization days per calendar yearCalendar Year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does not apply to ; excluding treatment of mental health and substance use disorders.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, Facilities including Skilled Nursing Facilities, Facilities are covered up to a combined maximum of 60 post- post-hospitalization days per calendar yearCalendar Year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does not apply to excluding treatment of mental health and substance use disordersdisorders (see Section 10.9).

Appears in 1 contract

Samples: Medical and Hospital Service Contract

Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, including Skilled Nursing Facilities, are covered up to a combined maximum of 60 post- hospitalization days per calendar year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does not apply to , excluding treatment of mental health and substance use disorders.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

Other Health Care Facility. (ies). Medically Necessary inpatient services of Other Health Care Facilities, including Skilled Nursing Facilities, are covered up to a combined maximum of 60 post- hospitalization days per calendar year, for conditions that cannot be adequately treated with Home Health Care Services or on an ambulatory basis. Day limit does Does not apply to treatment of mental health and substance use disorders.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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