PRIVATE NURSING Sample Clauses

PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse (RN) or Registered Practical Nurse (RPN); up to a lifetime maximum of $100,000 per covered person, when such services are provided in the home by a Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient. The attending physician must certify nursing services are medically necessary. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario, are not included.
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PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse (RN) or Registered Practical Nurse (RPN); when such services are provided in the home by a Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient. Nursing services must be certified medically necessary by the attending physician. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario, are not included. An “Authorization Form for RN Services” must be completed by the attending physician and submitted to Liberty Health. When the services are extended for more than 30 days, prior approval must be obtained from Manulife Financial on a monthly basis.
PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse (RN) or Registered Practical Nurse (RPN); up to an annual maximum of $25,000 when such services are provided in the home by a Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient. Nursing services must be certified medically necessary by the attending physician. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario, are not included. An “Authorization Form for RN Services” must be completed by the attending physician and submitted to Manulife Financial. When the services are extended for more than 30 days, prior approval must be obtained from Manulife Financial on a monthly basis.
PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse (RN); when such services are provided in the home or hospital by a Registered Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient, an employee of the hospital, nor lives in the home of the covered person. RN services must be certified medically necessary by the attending physician. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario, are not included.
PRIVATE NURSING. Charges for private nursing services which and can only be performed by a Registered Nurse (RN) or Registered Nursing Assistant (RNA); when such services are provided in the home by a nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient. Nursing services must be certified medically necessary by the attending physician. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario are not included. An Authorization Form for RN Services must be completed by the attending physician and submitted to the Benefits Provider for prior approval. When the services are extended for more than thirty (30) days, an updated authorization form must be submitted to the Benefits Provider for approval on a monthly basis.
PRIVATE NURSING. 3.1.5.1. Inpatient in HOSPITAL or nursing home; 3.1.5.2. Home nursing costs by a REGISTERED NURSE, up to 60 days per policy year;
PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse (RN) or Registered Practical Nurse (RPN) when such services are provided in the home or hospital by a Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient, an employee of the hospital, nor lives in the home of the covered person. Nursing services must be certified medically necessary by the attending physician. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario, are not included.
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PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse (RN) or Registered Practical Nurse (RPN); up to a lifetime maximum of $100,000 per covered person, when such services are provided in the home by a Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient. The attending physician must
PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse or Registered Practical Nurse when such services are provided in the home by a Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient. Nursing services must be certified medically necessary by the attending physician. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario, are not included. An "Authorization Form for Services" must be completed by the attending physician and submitted to Liberty Health. When the services are extended for more than days, prior approval must be obtained from Liberty Mutual on a monthly basis. PHYSIOTHERAPY: Charges for the services of a licensed or registered physiotherapist who does not have an agreement with the Ontario Health Insurance Plan for payment of services. DIAGNOSTIC SERVICE: Diagnostic services performed in a hospital or licensed medical laboratory. ACCIDENTAL DENTAL: Dental care for natural teeth, necessitated by a direct accidental blow to the mouth and not by an object wittingly or unwittingly placed in the mouth. The accident and treatment must occur while coverage is in force. Payment will be made up to the fees set out in the Ontario Dental Association suggested Fee Guide for General Practitioners in effect on the date of treatment. The replacement of natural teeth will be limited to per accident. Predetermination of Benefits and Alternate Benefit Provision Prior to beginning dental treatment which will involve the use of crowns, bridges denturesand which is cost or more, you must obtain from your dentistand submit to Liberty Health a treatmentplan outliningthe details of the accident, any relevant x-rays, condition of the teeth, planned treatment and cost. Approval of the treatment plan must be from Liberty Mutual prior to commencementof treatment(except for emergencytreatment required to alleviate pain). After reviewing the treatmentplan, you will be advised of the amount payable by Liberty Mutual. Where a range of fees, individual consideration or laboratory charges are included, Liberty Mutual will determine the amount payable. There are many ways to treat a particular dental problem or condition and the cost of differentprocedures, services, courses of treatment and materials may vary considerably. Liberty Mutual may determine that payment for a le...
PRIVATE NURSING. Charges for private nursing services which require, and can only be performed by a Registered Nurse when such services are provided in the home or hospital by a Registered Nurse who is registered in the jurisdiction in which the services are performed and is not a relative of the patient, an employee of the hospital, nor lives in the home of the covered person. services must be certified medically necessary by the attending physician. Agency fees, commissions and overtime charges, or any amount in excess of the fee level set by the largest nursing registry in the province of Ontario, are not included. An “Authorization Form of Services” must be completed by the attending physician and submitted to Maritime Life. When the services are extended for more than days, prior approval must be obtained from Maritime Life on a monthly basis.
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