Common use of Surgery - Outpatient Clause in Contracts

Surgery - Outpatient. Surgery and related services received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office. Benefits include certain scopic procedures. Examples of surgical scopic procedures include: • Arthroscopy. • Laparoscopy. • Bronchoscopy. • Hysteroscopy. Benefits include: • The facility charge and the charge for supplies and equipment. • Physician services for radiologists, anesthesiologists and pathologists. (Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.) Tissue transplants and cornea transplants when ordered by a Physician. Benefits are available for tissue and cornea transplants when the transplant meets the definition of a Covered Health Care Service, and is not an Experimental or Investigational or Unproven Service. You can call us at the telephone number on your ID card for information regarding Benefits for tissue and cornea transplant services.

Appears in 8 contracts

Samples: Individual Exchange Medical Policy, Individual Exchange Medical Policy, Individual Exchange Medical Policy

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Surgery - Outpatient. Surgery and related services received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office. Benefits include certain scopic procedures. Examples of surgical scopic procedures include: • Arthroscopy. • Laparoscopy. • Bronchoscopy. • Hysteroscopy. Benefits include: • The facility charge and the charge for supplies and equipment. SAMPLE • Physician services for radiologists, anesthesiologists and pathologists. (Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.) Tissue transplants and cornea transplants when ordered by a Physician. Benefits are available for tissue and cornea transplants when the transplant meets the definition of a Covered Health Care Service, and is not an Experimental or Investigational or Unproven Service. You can call us at the telephone number on your ID card for information regarding Benefits for tissue and cornea transplant services.

Appears in 1 contract

Samples: Individual Exchange Medical Policy

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