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) furnished for you by a Hospital; or by a community health center; or by a free-standing dialysis facility; or by a Physician. This coverage also includes home dialysis when it is furnished under the direction of a covered provider. Your home dialysis coverage includes: non-durable medical supplies (such as dialysis membrane and solution, tubing, and drugs that are needed during dialysis); the cost to install the dialysis equipment in your home; and the cost to maintain or to fix the dialysis equipment. • Intravenous chemotherapy or other intravenous infusion therapy. Sample • Radiation oncology. • Radiation and x-ray therapy that is furnished for you by a Physician. This includes: radiation therapy using isotopes, radium, radon, or other ionizing radiation; and x-ray therapy for cancer or when used in place of surgery. • Drug therapy for cancer (chemotherapy). 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.

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) furnished for you by a Hospital; or by a community health center; or by a free-standing dialysis facility; or by a Physician. This coverage also includes home dialysis when it is furnished under the direction of a covered provider. Your home dialysis coverage includes: non-durable medical supplies (such as dialysis membrane and solution, tubing, and drugs that are needed during dialysis); the cost to install the dialysis equipment in your home; and the cost to maintain or to fix the dialysis equipment. •  Intravenous chemotherapy or other intravenous infusion therapy. Sample •  Radiation oncology. •  Radiation and x-ray therapy that is furnished for you by a Physician. This includes: radiation therapy using isotopes, radium, radon, or other ionizing radiation; and x-ray therapy for cancer or when used in place of surgery. •  Drug therapy for cancer (chemotherapy). 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.

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) furnished for you by a Hospital; or by a community health center; or by a free-standing dialysis facility; or by a Physician. This coverage also includes home dialysis when it is furnished under the direction of a covered provider. Your home dialysis coverage includes: non-durable medical supplies (such as dialysis membrane and solution, tubing, and drugs that are needed during dialysis); the cost to install the dialysis equipment in your home; and the cost to maintain or to fix the dialysis equipment. SAMPLE • Intravenous chemotherapy or other intravenous infusion therapy. Sample • Radiation oncology. • Radiation and x-ray therapy that is furnished for you by a Physician. This includes: radiation therapy using isotopes, radium, radon, or other ionizing radiation; and x-ray therapy for cancer or when used in place of surgery. • Drug therapy for cancer (chemotherapy). 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.

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) furnished for you by a Hospitalhospital; or by a community health center; or by a free-standing dialysis facility; or by a Physicianphysician. This coverage also includes home dialysis when it is furnished under the direction of a covered provider. Your home dialysis coverage includes: non-durable medical supplies (such as dialysis membrane and solution, tubing, and drugs that are needed during dialysis); the cost to install the dialysis equipment in your home; and the cost to maintain or to fix the dialysis equipment. • Intravenous chemotherapy or other intravenous infusion therapy. Sample • Radiation oncology. • Radiation and x-ray therapy that is furnished for you by a Physicianphysician. This includes: radiation therapy using isotopes, radium, radon, or other ionizing radiation; and x-ray therapy for cancer or when used in place of surgery. • Drug therapy for cancer (chemotherapy). 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.