Transplant Services. Expenses for the following are excluded: a. transplant procedures excluded under this Contract (e.g., Experimental or Investigational transplant procedures); b. transplant procedures involving the transplantation or implantation of any non-human organ or tissue; c. transplant procedures related to the donation or acquisition of an organ or tissue for a recipient who is not covered by XxXxx; d. transplant procedures involving the implant of an artificial organ, including the implant of the artificial organ; e. any organ, tissue, marrow, or stem cells which is/are sold rather than donated; f. any Bone Marrow Transplant, as defined herein, which is not specifically listed in Rule 59B-12.001, Florida Administrative Code, or any successor or similar rule or covered by Medicare pursuant to a national coverage decision made by CMS as evidenced in the most recently published Medicare National Coverage Determinations Manual; g. any service in connection with the identification of a donor from a local, state or national listing, except in the case of a Bone Marrow Transplant; h. any non-medical costs, including temporary lodging or transportation costs for you or your family to and from the approved facility, except as described in Part X.
Appears in 27 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract
Transplant Services. Expenses for the following are excluded:
a. transplant procedures excluded under this Contract (e.g., Experimental or Investigational transplant procedures);
b. transplant procedures involving the transplantation or implantation of any non-human organ or tissue;
c. transplant procedures related to the donation or acquisition of an organ or tissue for a recipient who is not covered by XxXxx;
d. transplant procedures involving the implant of an artificial organ, including the implant of the artificial organ;
e. any organ, tissue, marrow, or stem cells which is/are sold rather than donated;
f. any Bone Marrow Transplant, as defined herein, which is not specifically listed in Rule 59B-12.001, Florida Administrative Code, or any successor or similar rule or covered by Medicare pursuant to a national coverage decision made by CMS as evidenced in the most recently published Medicare National Coverage Determinations Manual;
g. any service in connection with the identification of a donor from a local, state or national listing, except in the case of a Bone Marrow Transplant;
h. any non-medical costs, including temporary lodging or transportation costs for you or your family to and from the approved facility, except as described in Part X.
Appears in 10 contracts
Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract