Common use of Outpatient Services Clause in Contracts

Outpatient Services. The following services are covered only at the Primary Care Provider’s office[selected by a [Member], or elsewhere [upon prior written Referral by a [Member]'s Primary Care Provider ]: 1. Office visits during office hours, and during non-office hours when Medically Necessary and Appropriate. 2. Home visits by a [Member]'s Primary Care Provider. 3. Periodic health examinations to include: a. Well child care from birth including immunizations; b. Routine physical examinations, including eye examinations; c. Routine gynecologic exams and related services; d. Routine ear and hearing examination; and e. Routine allergy injections and immunizations (but not if solely for the purpose of travel or as a requirement of a [Member]'s employment).

Appears in 9 contracts

Samples: Hmo Plan Contract, Hmo Plan Contract, Hmo Plan Contract

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Outpatient Services. The following services are covered only at the Primary Care ProviderPhysician’s office[selected by a [Member], or elsewhere [upon prior written Referral by a [Member]'s Primary Care Provider Physician ]: 1. Office visits during office hours, and during non-office hours when Medically Necessary and Appropriate. 2. Home visits by a [Member]'s Primary Care ProviderPhysician. 3. Periodic health examinations to include: a. Well child care from birth including immunizations; b. Routine physical examinations, including eye examinations; c. Routine gynecologic exams and related services; d. Routine ear and hearing examination; and e. Routine allergy injections and immunizations (but not if solely for the purpose of travel or as a requirement of a [Member]'s employment).

Appears in 8 contracts

Samples: Hmo Plan Contract, Hmo Plan Contract, Hmo Plan Contract

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Outpatient Services. The following services are covered only at the Primary Care ProviderPhysician’s office[selected office selected by a [Member], or elsewhere [upon prior written Referral by a [Member]'s Primary Care Provider ]Physician: 1. Office visits during office hours, and during non-office hours when Medically Necessary and Appropriate. 2. Home visits by a [Member]'s Primary Care ProviderPhysician. 3. Preventive Care, including but not limited to Periodic health examinations to includesuch as: a. Well child care from birth including immunizations; b. Routine physical examinations, including eye examinations; c. Routine gynecologic exams and related services; d. Routine ear and hearing examination; and e. Routine allergy injections and immunizations (but not if solely for the purpose of travel or as a requirement of a [Member]'s employment).

Appears in 1 contract

Samples: Hmo Contract

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