Receiving Care from a Religious Non-Medical Health Care Institution Sample Clauses

Receiving Care from a Religious Non-Medical Health Care Institution. To get care from a religious non-medical health care institution, you must sign a legal document that says you are conscientiously opposed to getting medical treatment that is “non-excepted.” • “Non-excepted” medical care or treatment is any medical care or treatment that is voluntary and not required by any federal, state, or local law. • “Excepted” medical treatment is medical care or treatment that you get that is not voluntary or is required under federal, state, or local law. To be covered by our plan, the care you get from a religious non-medical health care institution must meet the following conditions: • The facility providing the care must be certified by Medicare. • Our plan’s coverage of services you receive is limited to non-religious aspects of care. • If you get services from this institution that are provided to you in a facility, the following conditions apply: o You must have a medical condition that would allow you to receive covered services for inpatient hospital care or skilled nursing facility care. o – and – you must get approval in advance from our plan before you are admitted to the facility, or your stay will not be covered. Your stay in a religious non-medical health care institution is not covered by our plan unless you obtain authorization (approval) in advance from our plan and will be subject to the same coverage limitations as the inpatient or skilled nursing facility care you would otherwise have received. Please refer to the Medical Benefits Chart in Chapter 4 for coverage rules and additional information on cost sharing and limitations for inpatient hospital and skilled nursing coverage. SECTION 7 Rules for ownership of durable medical equipment‌