Professional Health Services. The Employer will contract with a vendor of their choosing to provide Professional Health Services. The Professional Health Services vendor will be open to Employees, their spouses/domestic partners and children who are covered under the Employer’s First Choice HDHP. Services provided by Professional Health Services, per the contact with the vendor, will be at no cost to the employee. The Employer has full discretion to negotiate with the vendor on services provided and all other stipulations in the contract with the vendor. The Employer reserves the right to terminate the contract with the vendor and discontinue offering this benefit to Employees and their dependents at any time.
Professional Health Services. Medical care visits limited to one visit per day by any one Physician. Intensive medical care for constant attendance and treatment when Your condition requires it for a prolonged time. Concurrent care for a medical condition by a Physician who is not Your surgeon while You are in the Hospital for Surgery. Care by two or more Physicians during one Hospital stay when the nature or severity of Your condition requires the skills of separate Physicians. Consultation which is a personal bedside examination by another Physician when ordered by Your Physician. Staff consultations required by Hospital rules, consultations requested by the patient, routine radiological or cardiographic consultations, telephone consultations, EKG transmittal via phone are excluded. Surgery and the administration of general anesthesia. Newborn exam. A Physician other than the Physician who performed the obstetrical delivery must do the examination. When an Enrollee is transferred from one Hospital or other facility to another Hospital or other facility on the same day, any Copay per admission in the Schedule of Benefits is waived for the second admission.
Professional Health Services. The Company will reimburse the cost for the initial physiotherapy consultation • Physiotherapy: Maximum of $600.00 per year. • Chiropractor: Maximum of $620.00 per year. This amount will be increased to $640 on October 25, 2022, to $660 on October 25, 2023, to $680 on October 25, 2024 and to $700 on October 25, 2025.
