Common use of THERAPY SERVICES Clause in Contracts

THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider [or the Care Manager]]. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.

Appears in 22 contracts

Samples: Hmo Plan Contract, Hmo Plan Contract, Hmo Plan Contract

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THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider [or the Care Manager]]. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.

Appears in 16 contracts

Samples: Individual Health Maintenance Organization (Hmo) Contract, Hmo Health Benefits Contract, Individual Health Maintenance Organization (Hmo) Contract

THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider Physician [or the Care Manager]]. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.

Appears in 15 contracts

Samples: Hmo Health Benefits Contract, Hmo Contract, Hmo Health Benefits Contract

THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider [or the Care Manager]Physician ]. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.

Appears in 9 contracts

Samples: Hmo Contract, Hmo Health Benefits Contract, Hmo Health Benefits Contract

THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider [or the Care Manager]]Provider. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.

Appears in 4 contracts

Samples: Hmo Health Benefits Contract, Hmo Health Benefits Contract, Hmo Contract

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THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider Physician [or the Care Manager]]. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.

Appears in 2 contracts

Samples: Hmo Contract, Hmo Contract

THERAPY SERVICES. The following Services are covered when rendered by a Network Provider [upon prior written Referral by a [Member]'s Primary Care Provider [or the Care Manager]]Physician. Subject to the stated limits, We cover the Therapy Services listed below. We cover other types of Therapy Services provided they are performed by a licensed Provider, are Medically Necessary and Appropriate and are not Experimental or Investigational.

Appears in 1 contract

Samples: Hmo Contract

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