Common use of Outpatient Services Clause in Contracts

Outpatient Services. The following services are covered [only] at the Primary Care Physician’s office [or other Network Facility or Practitioner’s office] selected by a [Member][, or elsewhere upon prior written Referral by a [Member]'s Primary Care 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 Physician. 3. Preventive Care, including but not limited to Periodic health examinations such 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).

Outpatient Services. The following services are covered [only] at the Primary Care PhysicianProvider’s office [or other Network Facility or Practitioner’s office] selected by a [Member][, or elsewhere upon prior written Referral by a [Member]'s Primary Care PhysicianProvider]: 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 PhysicianProvider. 3. Preventive Care, including but not limited to Periodic health examinations such 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).