Portfolio of Covered Services Sample Clauses

Portfolio of Covered Services. Diagnostic and therapeutic progress in medical sci- ence in this insurance period may become part of this policy’s coverage, provided that the validation studies regarding its effectiveness are ratified by the Health- care Technologies Assess- ment Agencies, depending on the health ser- vices of the autonomous commu- nities or of the Ministry of Health, Social Services and Equality, via a positive report. In each renewal of this policy, SegurCaixa Adeslas, S.A. de Seguros y Reaseguros, will detail the tech- niques or treatments which become part of the policy coverage for the following period. The specialisms, healthcare benefits and other servic- es covered by this Policy are indicated below, togeth- er with their specific exclusions, if any. The common exclusions indicated in General Condition 3. (Cover- age Description Clauses) also apply: Los avances diagnósticos y terapéuticos que se va- yan produciendo en la ciencia médica, en el periodo de cobertura de este seguro, podrán pasar a formar parte de las coberturas de esta póliza siempre que los estudios de validación de su efectividad sean ratifica- dos por las Agencias de Evaluación de las Tecnologías Sanitarias dependientes de los Servicios de Salud de las CC.AA. o del Ministerio de Sanidad, Servicios So- ciales e Igualdad, mediante un informe positivo. En cada renovación de esta póliza, SegurCaixa Ades- las, S.A. de Seguros y Reaseguros detallará las técni- cas o tratamientos que pasan a formar parte de las coberturas de la póliza para el siguiente periodo. Las especialidades, prestaciones sanitarias y otros servicios cubiertos por esta póliza son los que se indican a continuación junto con sus exclusiones es- pecíficas, en el caso de que existan, siendo asimismo de aplicación las exclusiones comunes indicadas en el apartado 3: 2.1. PRIMARY CARE MEDICINE - General Medicine. Assistance at the surgery and at home. - Paediatrics and child care. For children under the age of fourteen. - Nursing. Service at the surgery and at home. In the latter case, provided that the patient is bedridden, and when so prescribed by a physician from the In- surer’s Services Catalogue.
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Portfolio of Covered Services. Diagnostic and therapeutic progress in medical sci- ence in this insurance period may become part of this policy’s coverage, provided that the validation studies regarding its effectiveness are ratified by the Health- care Technologies Assessment Agencies, depending on the health services of the autonomous communi- ties or of the Ministry of Health, Social Services and Equality, via a positive report. In each renewal of this policy, SegurCaixa Adeslas,S.A. de Seguros y Reaseguros, will detail the techniques or treatments which become part of the policy coverage for the following period. The specialisms, healthcare benefits and other servic- es covered by this Policy are indicated below, togeth- er with their specific exclusions, if any. The common exclusions indicated in General Condition 3. (Cover- age Description Clauses) also apply: 2.1. PRIMARY CARE MEDICINE - General Medicine. Assistance at the surgery and at home. - Nursing. Service at the surgery and at home. In the latter case, provided that the patient is bedridden, and when so prescribed by a physician from the In- surer’s Services Catalogue.
Sample 1

Related to Portfolio of Covered Services

  • Provision of Covered Services Contractor shall require each Participating Provider to ensure that each subcontracting arrangement entered into by each Participating Provider complies with the applicable terms and conditions set forth in the Agreement, as mutually agreed upon by Covered California and Contractor, and which may include the following: i. Coordination with Covered California and other programs and stakeholders (Section 3.1); ii. Relationship of the parties as independent contractors (Section 1.3(a)) and Contractor’s exclusive responsibility for obligations under the Agreement (Section 1.3(b)); iii. Participating Provider Directory requirements (Section 4.4.4);

  • Covered Services You will receive Covered Services under the terms and conditions of this Contract only when the Covered Service is: • Medically Necessary; • Provided by a Participating Provider for in-network coverage; • Listed as a Covered Service; • Not in excess of any benefit limitations described in the Schedule of Benefits section of this Contract; and • Received while Your Contract is in force.

  • Outpatient Dental Anesthesia Services This plan covers anesthesia services received in connection with a dental service when provided in a hospital or freestanding ambulatory surgical center and: • the use of this is medically necessary; and • the setting in which the service is received is determined to be appropriate. This plan also covers facility fees associated with these services. This plan covers dental care for members until the last day of the month in which they turn nineteen (19). This plan covers services only if they meet all of the following requirements: • listed as a covered dental care service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered dental care service under this plan. • dentally necessary, consistent with our dental policies and related guidelines at the time the services are provided. • not listed in Exclusions section. • received while a member is enrolled in the plan. • consistent with applicable state or federal law. • services are provided by a network provider.

  • Required Services Consultant agrees to perform the services, and deliver to City the “Deliverables” (if any) described in the attached Exhibit A, incorporated into the Agreement by this reference, within the time frames set forth therein, time being of the essence for this Agreement. The services and/or Deliverables described in Exhibit A shall be referred to herein as the “Required Services.”

  • Approved Services; Additional Services Registry Operator shall be entitled to provide the Registry Services described in clauses (a) and (b) of the first paragraph of Section 2.1 in the Specification 6 attached hereto (“Specification 6”) and such other Registry Services set forth on Exhibit A (collectively, the “Approved Services”). If Registry Operator desires to provide any Registry Service that is not an Approved Service or is a material modification to an Approved Service (each, an “Additional Service”), Registry Operator shall submit a request for approval of such Additional Service pursuant to the Registry Services Evaluation Policy at xxxx://xxx.xxxxx.xxx/en/registries/rsep/rsep.html, as such policy may be amended from time to time in accordance with the bylaws of ICANN (as amended from time to time, the “ICANN Bylaws”) applicable to Consensus Policies (the “RSEP”). Registry Operator may offer Additional Services only with the written approval of ICANN, and, upon any such approval, such Additional Services shall be deemed Registry Services under this Agreement. In its reasonable discretion, ICANN may require an amendment to this Agreement reflecting the provision of any Additional Service which is approved pursuant to the RSEP, which amendment shall be in a form reasonably acceptable to the parties.

  • Types of Coverage We offer the following types of coverage:

  • Ambulance Services Ground Ambulance Air and Water Ambulance

  • Emergency Mode Operation Plan Contractor must establish a documented plan to enable continuation of critical business processes and protection of the security of electronic County PHI or PI in the event of an emergency. Emergency means any circumstance or situation that causes normal computer operations to become unavailable for use in performing the work required under this Agreement for more than twenty-four (24) hours.

  • Surgery Services This plan covers surgery services to treat a disease or injury when: • the operation is not experimental or investigational, or cosmetic in nature; • the operation is being performed at the appropriate place of service; and • the physician is licensed to perform the surgery. This plan covers reconstructive surgery and procedures when the services are performed to relieve pain, or to correct or improve bodily function that is impaired as a result of: • a birth defect; • an accidental injury; • a disease; or • a previous covered surgical procedure. Functional indications for surgical correction do not include psychological, psychiatric or emotional reasons. This plan covers the procedures listed below to treat functional impairments. • abdominal wall surgery including panniculectomy (other than an abdominoplasty); • blepharoplasty and ptosis repair; • gastric bypass or gastric banding; • nasal reconstruction and septorhinoplasty; • orthognathic surgery including mandibular and maxillary osteotomy; • reduction mammoplasty; • removal of breast implants; • removal or treatment of proliferative vascular lesions and hemangiomas; • treatment of varicose veins; or • gynecomastia.

  • Shared Services CUPE agrees to adopt a shared services model that will allow other Trusts to join the shared services model. The shared services office of the Trust is responsible for the services to support the administration of benefits for the members, and to assist in the delivery of benefits on a sustainable, efficient and cost effective basis recognizing the value of benefits to the members.