Prescription Medication Benefits Limitations and Exclusions. The following items are limited or excluded from your Prescription Medication coverage:
a. Allergy serums; however, medications administered by the Attending Physician to treat the acute phase of an illness, and chemotherapy for cancer patients, are covered in accordance with this Contract;
b. Compounded prescriptions except pediatric preparations;
c. Cosmetic products, including hair growth, skin bleaching, sun damage and anti-wrinkle medications;
Prescription Medication Benefits Limitations and Exclusions. Primary Care Physician (PCP) means any Agility Plan Participating Physician engaged in general or family practice, internal medicine, pediatrics, geriatrics, obstetrics/gynecology or any Specialty Physician from time to time designated by AvMed as a ‘Primary Care Physician’ in AvMed’s current list of Participating Physicians and Hospitals. A PCP is one who directly provides or coordinates a range of Health Care Services for a Member.
Prescription Medication Benefits Limitations and Exclusions for additional information.
Prescription Medication Benefits Limitations and Exclusions for additional information about Prescription Medications.
Prescription Medication Benefits Limitations and Exclusions. See the Prescription Medication Amendment to your Contract for important information including Member cost-sharing, Limitations and Exclusions. See also Part II.
Prescription Medication Benefits Limitations and Exclusions remain unchanged from the original, as described in the Small Group Medical and Hospital Service Contract.
Prescription Medication Benefits Limitations and Exclusions. As of the Effective Date, the AvMed Individual and Family Medical and Hospital Service Contract, Part XII. PRESCRIPTION MEDICATION BENEFITS, LIMITATIONS AND EXCLUSIONS, is amended to read as follows:
Prescription Medication Benefits Limitations and Exclusions is applicable only if the Subscribing Group elected, through the Master Application, coverage of Prescription Medication benefits with their AvMed Large Group Choice Plan. If coverage of Prescription Medication benefits was not elected, Part XII. PRESCRIPTION MEDICATION BENEFITS, LIMITATIONS AND EXCLUSIONS does not apply, and coverage of Prescription Medications is explicitly excluded under this Contract. Polk St. Xxxxx St. Lucie Sarasota Seminole Suwannee Union IN CONSIDERATION of the payment of pre-paid monthly Premium as provided herein, AvMed, Inc., a private Florida not-for-profit corporation, state licensed as a health maintenance organization under Chapter 641, Florida Statutes (hereinafter “AvMed”), and the Subscribing Group as named on the Master Application (hereinafter “Subscribing Group”), agree as follows:
Prescription Medication Benefits Limitations and Exclusions is applicable only if the Subscribing Group elected, through the Master Application, to add coverage of Prescription Medication benefits to their AvMed Large Group Choice Plan. If coverage of Prescription Medication benefits was not elected, this Part does not apply and Prescription Medication coverage is explicitly excluded under this Contract.
