Specialist Care Services. Services provided by a medical specialist to whom a patient has been referred, usually by a primary care provider. Participating specialist office visits. Participating specialist consultations, including second opinions. Outpatient surgery for a covered surgical procedure when furnished by a participating outpatient surgery center. All outpatient surgery must be approved in advance by the Company. Preoperative and postoperative care. Casts and dressings. Radiation therapy. Cancer chemotherapy. Short-term cardiac rehabilitation provided on an outpatient basis following angioplasty, cardiovascular surgery, congestive heart failure or myocardial infarction. Short-term pulmonary rehabilitation provided on an outpatient basis for the treatment of reversible pulmonary disease. Hearing Aids - Coverage will be provided for medically necessary expenses incurred in the purchase of a hearing aid for Covered Persons. Hearing aid replacement when it is medically necessary and prescribed by a licensed physician or audiologist. Coverage is limited to $500 per covered person per plan year. Replacement once every twenty four months.
Appears in 6 contracts
Samples: Health Insurance Agreement, Group Health Insurance Agreement, Health Insurance Agreement
Specialist Care Services. Services provided by a medical specialist to whom a patient has been referred, usually by a primary care provider. • Participating specialist office visits. • Participating specialist consultations, including second opinions. • Outpatient surgery for a covered surgical procedure when furnished by a participating outpatient surgery center. All outpatient surgery must be approved in advance by the Company. • Preoperative and postoperative care. • Casts and dressings. • Radiation therapy. • Cancer chemotherapy. • Short-term cardiac rehabilitation provided on an outpatient basis following angioplasty, cardiovascular surgery, congestive heart failure or myocardial infarction. • Short-term pulmonary rehabilitation provided on an outpatient basis for the treatment of reversible pulmonary disease. • Hearing Aids - Coverage will be provided for medically necessary expenses incurred in the purchase of a hearing aid for Covered Persons. Hearing aid replacement when it is medically necessary and prescribed by a licensed physician or audiologist. Coverage is limited to $500 per covered person per plan year. Replacement once every twenty four months.
Appears in 2 contracts
Samples: Group Health Insurance Agreement, Health Insurance Agreement
Specialist Care Services. Services provided by a medical specialist to whom a patient has been referred, usually by a primary care provider. Participating specialist office visits. Participating specialist consultations, including second opinions. Outpatient surgery for a covered surgical procedure when furnished by a participating outpatient surgery center. All outpatient surgery must be approved in advance by the Company. Preoperative and postoperative care. Casts and dressings. Radiation therapy. Cancer chemotherapy. Short-term cardiac rehabilitation provided on an outpatient basis following angioplasty, cardiovascular surgery, congestive heart failure or myocardial infarction. Short-term pulmonary rehabilitation provided on an outpatient basis for the treatment of reversible pulmonary disease. Hearing Aids - Coverage will be provided for medically necessary expenses incurred in the purchase of a hearing aid for Covered Persons. Hearing aid replacement when it is medically necessary and prescribed by a licensed physician or audiologist. Coverage is limited to $500 per covered person per plan year. Replacement once every twenty twenty-four months.
Appears in 1 contract
Samples: Group Health Insurance Agreement