Common use of Professional Health Services Clause in Contracts

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.

Appears in 4 contracts

Samples: Health Maintenance Organization Contract, Health Insurance Contract, Health Insurance Contract

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