Physician Care. Outpatient
Physician Care. Inpatient. All Health Care Services rendered by Participating Physicians and other participating Health Professionals when requested or directed by the Attending Physician, including surgical procedures, anesthesia, consultation and treatment by participating Specialty Physicians, laboratory and diagnostic imaging services, and physical therapy are covered while the Member is admitted to a participating Hospital as a registered bed patient. When available and requested by the Member, the services of a CRNA licensed under Chapter 464, Florida Statutes, will be covered.
Physician Care. Inpatient. All Health Care Services rendered by in-network Physicians and other in- network Health Professionals when requested or directed by the Attending Physician, including surgical procedures, anesthesia, consultation and treatment by in-network Specialty Physicians, laboratory and diagnostic imaging services, and physical therapy are covered while the Member is admitted to an in-network Hospital as a registered bed patient. When available and requested by the Member, the services of a CRNA licensed under Chapter 464, Florida Statutes, will be covered.
Physician Care. Outpatient
a. D iagnosis and Treatment. All Health Care Services rendered by Physicians and other Health Professionals are covered when Medically Necessary and when provided at Medical Offices, including surgical procedures, routine hearing examinations, and vision examinations for glasses for children through the end of the month in which they turn 19 (such examinations may be provided by optometrists licensed pursuant to Chapter 463, Florida Statutes, or by ophthalmologists licensed pursuant to Chapter 458 or 459, Florida Statutes) (or if outside Florida, applicable state law), and consultation and treatment by Specialty Physicians. Also included are non-reusable materials and surgical supplies.
b. P reventive and Health Maintenance Services. Services of Health Professionals for illness prevention and health maintenance, including items or services that have an ‘A’ or ‘B’ rating in the current recommendations of the USPSTF with respect to the Member involved; immunizations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention; evidence-informed preventive care and screenings for infants, children, and adolescents as provided for in comprehensive guidelines supported by the Health Resources and Services Administration (HRSA); and evidence-informed preventive care and screening for women as provided for in comprehensive guidelines supported by the HRSA. A listing of preventive health services with current ‘A’ or ‘B’ ratings is available on the USPSTF website. I mportant note about gender-specific preventive care benefits: Covered expenses include any recommended preventive care benefits described above that are determined by your Health Professional to be Medically Necessary, regardless of the sex you were assigned at birth, your gender identity, or your recorded gender.
Physician Care. Outpatient
a. D iagnosis and Treatment. All Health Care Services rendered by Participating Physicians and other participating Health Professionals are covered when Medically Necessary and when provided at Medical Offices, including surgical procedures, routine hearing examinations, and vision examinations for glasses for children through the end of the month in which they turn 19 (such examinations may be provided by optometrists licensed pursuant to Chapter 463, Florida Statutes, or by ophthalmologists licensed pursuant to Chapter 458 or 459, Florida Statutes), and consultation and treatment by participating Specialty Physicians. Also included are non- reusable materials and surgical supplies.
