Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy. A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes: 1. Augmentation mammoplasty; 2. Reduction mammoplasty; and 3. Mastopexy. B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed. C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreement. D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physician.
Appears in 9 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the this Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physician.
Appears in 5 contracts
Samples: Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.. SAMPLE
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physicianContracting Physician.
Appears in 5 contracts
Samples: Individual Enrollment Agreement, Individual Enrollment Agreement, Individual Enrollment Agreement
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physicianContracting Physician.
Appears in 3 contracts
Samples: Individual Enrollment Agreement, Individual Enrollment Agreement, Individual Enrollment Agreement
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; andand SAMPLE
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physicianContracting Physician.
Appears in 3 contracts
Samples: Individual Enrollment Agreement, Individual Enrollment Agreement for a Qualified Health Plan, Individual Enrollment Agreement for a Qualified Health Plan
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreementthis Evidence of Coverage.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physician.
Appears in 3 contracts
Samples: In Network Group Contract, In Network Group Contract, In Network Group Contract
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the this Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s 's attending physician.
Appears in 2 contracts
Samples: Student Health Plan Individual Enrollment Agreement, Student Health Plan Individual Enrollment Agreement
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the this In-Network Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physician.
Appears in 1 contract
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreement.. Sample
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physicianContracting Physician.
Appears in 1 contract
Samples: Individual Enrollment Agreement for a Qualified Health Plan
Reconstructive Breast Surgery. SAMPLE Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physicianContracting Physician.
Appears in 1 contract
Samples: Individual Enrollment Agreement for a Qualified Health Plan
Reconstructive Breast Surgery. Benefits will be provided for reconstructive breast surgery resulting from a Mastectomy.
A. Reconstructive breast surgery means surgery performed as a result of a Mastectomy to reestablish symmetry between the two breasts. Reconstructive breast surgery includes:
1. Augmentation mammoplasty;
2. Reduction mammoplasty; and
3. Mastopexy.
B. Benefits are provided for all stages of reconstructive breast surgery performed on the non-diseased breast to establish symmetry with the diseased breast when reconstructive breast surgery on the diseased breast is performed.. SAMPLE
C. Benefits are provided regardless of whether the Mastectomy was performed while the Member was covered under the Agreement.
D. Coverage will be provided for treatment of physical complications at all stages of Mastectomy, including lymphedemas, in a manner determined in consultation with the Member and the Member’s attending physicianContracting Physician.
Appears in 1 contract
Samples: Individual Enrollment Agreement for a Qualified Health Plan