Common use of Prescription Drugs Clause in Contracts

Prescription Drugs. The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse disorders are covered under

Appears in 19 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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Prescription Drugs. The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse use disorders are covered underunder Section

Appears in 16 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

Prescription Drugs. The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization Preauthorization, concurrent utilization review and retrospective utilization review is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse use disorders are covered underunder Section B. Substance Use Disorder Treatment.

Appears in 10 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

Prescription Drugs. The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization Preauthorization, concurrent utilization review, and retrospective utilization review is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse use disorders are covered underunder Section B. Substance Use Disorder Treatment.

Appears in 5 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

Prescription Drugs. The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse use disorders are covered underunder Section B.

Appears in 1 contract

Samples: Subscriber Agreement

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Prescription Drugs. The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types this type of treatments treatment limit is preauthorization. Preauthorization is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. A network authorization must be obtained prior to receiving services from an out-of-network provider. Mental disorders are covered under Section A. Mental Health Services. Substance abuse use disorders are covered underunder Section

Appears in 1 contract

Samples: Subscriber Agreement

Prescription Drugs. The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization Preauthorization, concurrent utilization review and retrospective utilization review is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse disorders are covered under.

Appears in 1 contract

Samples: Subscriber Agreement

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