REQUIRED SECOND SURGICAL OPINION Sample Clauses

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services.
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REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended a non-emergency surgical procedure, the insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the insurer or USA Medical Ser- vices, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contra- dicts or does not confirm the need for surgery, the insurer will also pay for a third surgical opinion from a physician chosen in agreement between the insured and USA Medical Services. If the second or third surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPIN- ION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM, IN ADDITION TO THE PLAN DEDUCTIBLE.
REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify Redbridge Network & Healthcare, Inc at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or Redbridge Network & Healthcare, Inc, it must be conducted by a physician chosen and arranged by Redbridge Network & Healthcare, Inc. Only those second surgical opinions required and coordinated by Redbridge Network & Healthcare, Inc are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by Redbridge Network & Healthcare, Inc. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDITION TO THE PLAN DEDUCTIBLE AND COINSURANCE. (IF APPLICABLE).
REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any
REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify Assuria Medische Verzekering N.V. or the Service Administrator at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or Assuria Medische Verzekering N.V. or the Service Administrator, it must be conducted by a surgeon chosen and arranged by Assuria Medische Verzekering N.V. or the Service Administrator. Only those second surgical opinions required and coordinated by Assuria Medische Verzekering N.V. or the Service Administrator are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a surgeon chosen by Assuria Medische Verzekering N.V. or the Service Administrator. If the second or third surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy.
REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72)
REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgi- cal opinions required and coordi- nated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgi- cal opinion from a physician chosen by USA Medical Services.
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REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify Redbridge Network & Healthcare, Inc at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or Redbridge Network & Healthcare, Inc, it must be conducted by a physician chosen and arranged by Redbridge Network & IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION , THE INSURED WILL BE RESPONSIBLE FOR THIRTY PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDITION TO THE PLAN DEDUCTIBLE AND COINSURANCE. (IF APPLICABLE).
REQUIRED SECOND SURGICAL OPINION. We may require a second opinion before We preauthorize a surgical procedure. There is no cost to You when We request a second opinion. • The second opinion must be given by a board certified Specialist who personally examines You. • If the first and second opinions do not agree, You may obtain a third opinion. • The second and third opinion consultants may not perform the surgery on You.

Related to REQUIRED SECOND SURGICAL OPINION

  • Notice to Union of Long Term Layoff In the event of a pending layoff of a permanent or long-term nature, the Home will: (a) Provide the Union with ninety (90) days’ notice; (b) Meet with the Union to review the following: i) The reasons causing the layoff; ii) The service which the Home will undertake after the layoff; iii) The method of implementation, including areas of cutback and the employees to be laid off. It is understood that permanent or long-term nature means a layoff which will be longer than eight (8) weeks.

  • Statements Required in Certificate or Opinion Each certificate or opinion with respect to compliance with a condition or covenant provided for in this Indenture (other than a certificate provided pursuant to TIA Section 314(a)(4)) shall comply with the provisions of TIA Section 314(e) and shall include: (a) a statement that the Person making such certificate or opinion has read such covenant or condition; (b) a brief statement as to the nature and scope of the examination or investigation upon which the statements or opinions contained in such certificate or opinion are based; (c) a statement that, in the opinion of such Person, he or she has made such examination or investigation as is necessary to enable him to express an informed opinion as to whether or not such covenant or condition has been satisfied; and (d) a statement as to whether or not, in the opinion of such Person, such condition or covenant has been satisfied.

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