Common use of PHYSICIANS, HOSPITALS AND OTHER PROVIDER OPTIONS Clause in Contracts

PHYSICIANS, HOSPITALS AND OTHER PROVIDER OPTIONS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to its Members through the Engage Plan’s network of contracted independent Physicians and Hospitals and other independent Health Care Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes, concerning the proper course of treatment of a Member shall not be subject to modification by AvMed, its Board of Directors, officers or administrators. However, this Section is not intended to and shall not restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Non Group Medical and Hospital Service Contract

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PHYSICIANS, HOSPITALS AND OTHER PROVIDER OPTIONS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to its Members through the Engage Empower Plan’s network of contracted independent Physicians and Hospitals and other independent Health Care HealthCare Providers, and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida StatutesStatutes (or if outside Florida, applicable state law), concerning the proper course of treatment of a Member shall not be subject to modification by AvMed, its Board of Directors, officers or administrators. However, this Section is not intended to and shall not restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Non Group Medical and Hospital Service Contract

PHYSICIANS, HOSPITALS AND OTHER PROVIDER OPTIONS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to its Members through the Engage Plan’s network of contracted independent Physicians and Hospitals and other independent Health Care Providers, Providers as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes, concerning the proper course of treatment of a Member shall not be subject to modification by AvMed, AvMed or its Board of Directors, officers or administrators. However, this Section is not intended to and shall not restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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PHYSICIANS, HOSPITALS AND OTHER PROVIDER OPTIONS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to its Members through the Engage Plan’s network of contracted independent Physicians and Hospitals and other independent Health Care Providers, Providers as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes, concerning the proper course of treatment of a Member shall not be subject to modification by AvMed, its Board of Directors, officers or administrators. However, this Section is not intended to and shall not restrict any Utilization Management Program established by AvMed.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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