Supplies. Ostomy, urostomy and wound care supplies are covered when Medically Necessary. Items that are not medical supplies or that could be used by the Member or a family member for purposes other than ostomy care are not covered. Wound care supplies are covered as part of an approved treatment plan when one of the following criteria is met: treatment of a wound caused by, or treated by, a surgical procedure; or treatment of a wound that requires debridement. Services are subject to Limitations as described in Part X. LIMITATIONS OF COVERED MEDICAL SERVICES.
Appears in 26 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Supplies. Ostomy, Ostomy and urostomy and wound care supplies are covered when Medically Necessary. Items that are not medical supplies or that could be used by the Member or a family member for purposes other than ostomy care are not covered. Wound care supplies are covered when Medically Necessary as part of an approved treatment plan when one of the following criteria is met: for treatment of a wound caused by, by or treated by, by a surgical procedure; or treatment of a wound that requires debridement. Services are subject to Limitations as described in Part X. LIMITATIONS OF COVERED MEDICAL SERVICES.
Appears in 9 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider
Supplies. Ostomy, Ostomy and urostomy and wound care supplies are covered when Medically Necessary. Items that are not medical supplies or that could be used by the Member or a family member for purposes other than ostomy care are not covered. Wound care supplies are covered when Medically Necessary as part of an approved treatment plan when one of the following criteria is met: for treatment of a wound caused by, by or treated by, by a surgical procedure; or treatment of a wound that requires debridement. Services are subject to Limitations as described in Part P art X. LIMITATIONS OF COVERED MEDICAL SERVICES.
Appears in 5 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Supplies. Ostomy, Ostomy and urostomy and wound care supplies are covered when Medically Necessary. Items that are not medical supplies or that could be used by the Member or a family member for purposes other than ostomy care are not covered. Wound care supplies are covered as part of an approved treatment plan when one of the following criteria is met: for treatment of a wound caused by, or treated by, a surgical procedure; or treatment of a wound that requires debridement. Services are subject to Limitations as described in Part X. LIMITATIONS OF COVERED MEDICAL SERVICES.
Appears in 5 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Supplies. Ostomy, urostomy and wound care supplies are covered when Medically Necessary. .
a. Items that which are not medical supplies or that which could be used by the Member or a family member for purposes other than ostomy care are not covered. See Part X. LIMITATIONS OF COVERED SERVICES for applicable benefit maximums and Limitations.
b. Wound care supplies are covered as part of an approved treatment plan when one of the following criteria is met: treatment of a wound caused by, or treated by, a surgical procedure; or treatment of a wound that requires debridement. Services are subject to Limitations as described in Part X. LIMITATIONS OF COVERED MEDICAL SERVICES.
Appears in 2 contracts
Samples: Medical and Hospital Service Contract, Large Group Hmo Plan Medical and Hospital Service Contract
Supplies. Ostomy, urostomy and wound care supplies are covered when Medically Necessary. .
a. Items that which are not medical supplies or that which could be used by the Member or a family member for purposes other than ostomy care are not covered. .
b. Wound care supplies are covered as part of an approved treatment plan plan, when one of the following criteria is met: treatment of a wound caused by, or treated by, a surgical procedure; or treatment of a wound that requires debridement. Services are subject to Limitations as described in Part X. LIMITATIONS OF COVERED MEDICAL SERVICES.
Appears in 2 contracts
Samples: Medical and Hospital Service Contract, Non Group Medical and Hospital Service Contract
Supplies. Ostomy, urostomy and wound care supplies are covered when Medically Necessary. .
a. Items that which are not medical supplies or that which could be used by the Member or a family member for purposes other than ostomy care are not covered. See Part X. LIMITATIONS OF COVERED SERVICES for applicable benefit maximums and Limitations.
b. Wound care supplies are covered as part of an approved treatment plan plan, when one of the following criteria is met: treatment of a wound caused by, or treated by, a surgical procedure; or treatment of a wound that requires debridement. Services are subject to Limitations as described in Part X. LIMITATIONS OF COVERED MEDICAL SERVICES.
Appears in 1 contract
Samples: Large Group Choice Plan Medical and Hospital Service Contract