Common use of Recommended Treatment Clause in Contracts

Recommended Treatment. Group Health’s medical director will determine the necessity, nature and extent of treatment to be covered in each individual case and the judgment will be made in good faith. Members have the right to appeal coverage decisions (see Section VIII.). Members have the right to participate in decisions regarding their health care. A Member may refuse any recommended services to the extent permitted by law. Members who obtain care not recommended by Group Health’s medical director do so with the full understanding that Group Health has no obligation for the cost, or liability for the outcome, of such care.

Recommended Treatment. ‌ Group Health’s medical director will determine the necessity, nature and extent of treatment to be covered in each individual case and the judgment will be made in good faith. Members have the right to appeal coverage decisions (see Section VIII.). Members have the right to participate in decisions regarding their health care. A Member may refuse any recommended services to the extent permitted by law. Members who obtain care not recommended by Group Health’s medical director do so with the full understanding that Group Health has no obligation for the cost, or liability for the outcome, of such care.

Recommended Treatment. Group Health’s medical director will determine the necessity, nature and extent of treatment to be covered in each individual case and the judgment will be made in good faith. Members have the right to appeal coverage decisions (see Section VIII.). Members have the right to participate in decisions regarding their health care. A Member may refuse any recommended services to the extent permitted by law. Members who obtain care not recommended by Group Health’s medical director do so with the full understanding that Group Health has no obligation for the cost, or liability for the outcome, of such care.