Common use of Therapeutic Treatments - Outpatient Clause in Contracts

Therapeutic Treatments - Outpatient. Therapeutic treatments received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office, including: • Dialysis (both hemodialysis and peritoneal dialysis). • Intravenous Chemotherapy or other intravenous Infusion Therapy. • Radiation oncology. • Blood, Blood Products, derivatives, components, biologics, and serums to include autologous services, whole blood, red blood cells, platelets, plasma, immunoglobin and albumin. Covered Health Care Services include medical education services that are provided on an outpatient basis at a Hospital or Alternate Facility by appropriately licensed or registered health care professionals when both of the following are true: • Education is required for a disease in which patient self-management is a part of treatment. • There is a lack of knowledge regarding the disease which requires the help of a trained health professional. Benefits include: • The facility charge and the charge for related supplies and equipment. • Physician services for anesthesiologists, pathologists and radiologists. Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.

Appears in 8 contracts

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

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Therapeutic Treatments - Outpatient. Therapeutic treatments received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office, including: • Dialysis (both hemodialysis and peritoneal dialysis). • Intravenous Chemotherapy or other intravenous Infusion Therapy. • Radiation oncology. • Blood, Blood Products, derivatives, components, biologics, and serums to include autologous services, whole blood, red blood cells, platelets, plasma, immunoglobin and albumin. Covered Health Care Services include medical education services that are provided on an outpatient basis at a Hospital or Alternate Facility by appropriately licensed or registered health care professionals when both of the following are true: • Education is required for a disease in which patient self-management is a part of treatment. • There is a lack of knowledge regarding the disease which requires the help of a trained health professional. Benefits include: • The facility charge and the charge for related supplies and equipment. • Physician services for anesthesiologists, pathologists and radiologists. Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.. SAMPLE

Appears in 1 contract

Samples: Individual Exchange Medical Policy

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