Physician’s Services. Shall be defined as Medically Necessary professional Services provided by duly licensed Physicians including diagnosis, consultation, medical treatment, surgery, anesthesia, physical therapy, x-ray and laboratory services, diagnostic procedures such as electrocardiograms, electroencephalograms, and other services customarily provided by Physicians for patients. Experimental Services shall not be included within the scope of Physicians' Services.
Physician’s Services. Doctors’ visits at home, in the office, or in the hospital - Surgical procedures, - Diagnostic tests, and - Specialists’ fees. The Physician is paid a fee for his services which is based on a Province-wide schedule of fees. The Company will pay the full premium cost of this Plan for employees (excluding probationary employees) providing such Company payment is not prohibited by Law.
Physician’s Services. The Company will implement a copay of $25 for each primary care physician’s home or office visit and a copay of $30 for each specialist’s home or office visit on an in-network basis. Physician’s office visits will be covered on an out-of-network basis at 60% of the MAA after the deductible is met. (Amend the following sections of the FMEP: Sections 5.2.1, 5.2.2, 5.2.3 and 8.15.)
Physician’s Services a. Consultation, examination and treatment by a Plan Physician at a Plan Physician’s Office. See attached provider network for participating providers.
Physician’s Services. (a) Physicians’ services are profes- sional services that are performed by a physician at the clinic or are per- formed away from the clinic by a phy- sician whose agreement with the clinic provides that he or she will be paid by the clinic for such services. § 405.2413 Services and supplies inci- dent to a physician’s services.
Physician’s Services. Subsection 1141.53(a) through (c) (relating to payment made in an approved short procedure unit only if the service could not appropriately and safely be performed in the physician’s office, clinic or ED of a hospital; prior authorization requirements for specialists’ examinations and consultations; and services provided to recipients in skilled and intermediate care facilities by the physician administrator or medical director) • Subsection 1141.53(f) and (g) (relating to all covered outpatient physicians’ services billed to the Department shall be performed by such physician personally or by a registered nurse, physician’s assistant, or a midwife under the physician’s direct supervision; and payment by the Department of a Ten Dollar ($10.00) per month fee to physicians who are approved by the Department to participate in the restricted recipientprogram) • Subsection 1141.54(a)(1) through (3) (relating to when a physician is eligible to bill the Department for services provided to a hospitalized recipient) • Subsection 1141.54(f) (relating to inpatient physicians’ services billed to the Department shall be performed by the physician, an RN, physician’s assistant or midwife under the physician’s direct supervision) • Subsection 1141.55(b)(1) (only as it relates to the Department’s forms) • Subsections 1141.55(c), 1141.55(c)(2) and Subsection 1141.55(c)(3) and 1141.56(a)(3) (to the extent those provisions referenced the Provider Handbook) • Subsection 1141.57(a)(2) (only to the extent that the incident must be reported within seventy-two (72) hours) • Subsection 1141.57(a)(1)(i) (to the extent of the invoice and report) • Subsection 1141.57(a)(2)(i) (to the extent of the invoice and report) • Subsections 1141.59(1) through (5), 1141.59(7) and (8), and 1141.59(10) and (11) and 1141.59(14) through (16) (relating to non-compensable services) • Section 1141.60 (relating to payment for medications dispensed or ordered in the course of an office visit) Chapter 1142. Midwives’ Services • Section 1142.51 (only as to MA payment fees) • Subsection 1142.52(2) (only as to MA billing) • Subsection 1142.55 (relating to non-compensable services) Chapter 1143. Podiatrists’ Services • Section 1143.2 (only as to the definition of Medically Necessary) • Section 1143.51 (only as to the MA fee schedule) • Section 1143.53 (relating to payment conditions for outpatient services) • Section 1143.54 (relating to payment conditions for inpatient hospital services) • Subsection 1143.5...
Physician’s Services. The Company will implement a $20 copay for each primary care physician’s home or office visit and a $25 copay for each specialist’s home or office visit on an in-network basis. The copay for an individual who is eligible for Medicare will be $10 for each primary care physician’s home or office visit and $15 for each specialist’s home or office visit on an in-network basis. Primary care physician’s or specialist’s home and office visits will be covered on an out-of-network basis at 70% of the MAA after the deductible is met. (Amend the following sections of the VMEP: Sections 5.1.2 and 5.1.3.)
Physician’s Services
