Provision of Health Care Services and Benefits. The Subscribing Group engages AvMed, on behalf of the group health plan described herein (the “Plan”), to arrange for the provision of Covered Benefits or Covered Services which are Medically Necessary for the diagnosis and treatment of Members of the Subscribing Group. AvMed arranges for the delivery of Covered Services in accordance with the covenants and conditions contained in this Contract, and does not directly provide these Covered Services. AvMed will rely upon the statements of the Subscriber in his application in arranging for the provision of Covered Services hereunder.
Appears in 11 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract
Provision of Health Care Services and Benefits. The Subscribing Group engages AvMed, on behalf of the group health plan described herein (the “Plan”), to arrange for the provision of Covered Benefits or Covered Services which are Medically Necessary for the diagnosis and treatment of Members of the Subscribing Group. AvMed arranges for the delivery of Covered Services in accordance with the covenants and conditions contained in this Contract, and does not directly provide these Covered Services. AvMed will rely upon the statements of the Subscriber in his application Application in arranging for the provision of Covered Services coverage and benefits hereunder.
Appears in 10 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Provision of Health Care Services and Benefits. The Subscribing Group engages AvMed, on behalf of the group health plan described herein (the “Plan”)in this Contract, to arrange for the provision of Covered Benefits or Covered Services which are Medically Necessary for the diagnosis and treatment of Members of the Subscribing Group. AvMed arranges for the delivery of Covered Services in accordance with the covenants and conditions contained in this Contract, and does not directly provide these Covered Services. AvMed will rely upon the statements of the Subscriber in his application in arranging for the provision of Covered Services hereunderunder this Contract.
Appears in 8 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract
Provision of Health Care Services and Benefits. The Subscribing Group engages AvMed, on behalf of the group health plan described herein (the “Plan”), to arrange for the provision of Covered Benefits Health Care Services or Covered Services benefits which are Medically Necessary for the diagnosis and treatment of Members of the Subscribing Group. AvMed arranges for the delivery of Covered Health Care Services or benefits, in accordance with the covenants and conditions contained in this Contract, and does not directly provide these Covered ServicesHealth Care Services or benefits. AvMed will shall rely upon the statements of the Subscriber in his application Application in arranging for the provision of Covered Services providing coverage and benefits hereunder.
Appears in 5 contracts
Samples: Large Group Choice Plan Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Provision of Health Care Services and Benefits. The Subscribing Group engages AvMed, on behalf of the group health plan described herein (the “Plan”), to arrange for the provision of Covered Benefits Health Care Services or Covered Services benefits which are Medically Necessary for the diagnosis and treatment of Members of the Subscribing Group. AvMed arranges for the delivery of Covered Health Care Services or benefits in accordance with the covenants and conditions contained in this Contract, and does not directly provide these Covered ServicesHealth Care Services or benefits. AvMed will shall rely upon the statements of the Subscriber in his application Application in arranging for the provision of Covered Services providing coverage and benefits hereunder.
Appears in 2 contracts
Samples: Medical and Hospital Service Contract, Large Group Hmo Plan Medical and Hospital Service Contract