Common use of PROSTHETIC APPLIANCES Clause in Contracts

PROSTHETIC APPLIANCES. Purchase of the following items when authorized in writing by the patient's attending physician: standard type artificial limb or eye, repairs to prosthetic appliances, xxxxx socks, splints, trusses, casts, cervical collars, braces (excluding dental braces), catheters, urinary kits, external breast prostheses (following mastectomies), surgical brassieres (following mastectomies), ostomy supplies (where a surgical stoma exists), tracheotomy, and corrective prosthetic lenses and frames (once only for persons who lack an organic lens or after cataract surgery). Lymphedema sleeves/compression sleeves with a mean compression factor or 20mmHG, up to a maximum of 2 sleeves per body part of limb per calendar year, Wigs and hairpieces for patients with temporary hair loss as a result of medical treatment, up to a maximum of $1,500 per lifetime. Custom-made orthopaedic boots or shoes, adjustments to stock item footwear and custom moulded foot orthoses (orthotics) are subject to a combined maximum of $500 per person per calendar year for adults. For dependent children two (2) pairs per calendar year (no dollar limitation for dependent children only). Surgical stockings with a compression factor greater than or equal to 25mmHG to a maximum of six (6) pairs per calendar year. The purchase of a cystistat kit will be considered an eligible expense when the attending physician, outlining the diagnosis and recommended course of treatment, completes a pre-authorization. The patient will be re-evaluated after the eighth treatment and additional pre-authorization must be obtained if further treatment is required. This benefit is limited to one course of treatment.

PROSTHETIC APPLIANCES. Purchase of the following items when authorized in writing by the patient's attending physician: standard type artificial limb or eye, repairs to prosthetic appliances, xxxxx socks, splints, trusses, casts, cervical collars, braces (excluding dental braces), catheters, urinary kits, external breast prostheses (following mastectomies), surgical brassieres (following mastectomies), ostomy supplies (where a surgical stoma exists), tracheotomy, and corrective prosthetic lenses and frames (once only for persons who lack an organic lens or after cataract surgery). Lymphedema sleeves/compression sleeves with a mean compression factor or 20mmHG, up to a maximum of 2 sleeves per body part of limb per calendar year, Wigs and hairpieces for patients with temporary hair loss as a result of medical treatment, up to a maximum of $1,500 per lifetime. Custom-made orthopaedic boots or shoes, adjustments to stock item footwear and custom moulded foot orthoses (orthotics) are subject to a combined maximum of $500 per person per calendar year for adults. For dependent children two (2) pairs per calendar year (no dollar limitation for dependent children only)year. Surgical stockings with a compression factor greater than or equal to 25mmHG to a maximum of six four (64) pairs per calendar year. The purchase of a cystistat kit will be considered an eligible expense when the attending physician, outlining the diagnosis and recommended course of treatment, completes a pre-authorization. The patient will be re-evaluated after the eighth treatment and additional pre-authorization must be obtained if further treatment is required. This benefit is limited to one course of treatment.