Common use of Transplantation Services Clause in Contracts

Transplantation Services. Organ transplants when ordered by a Physician. Benefits are available for transplants when the transplant meets the definition of a Covered Health Care Service, and is not an Experimental or Investigational or Unproven Service. Coverage will be provided for all Medically Necessary solid organ transplants and non-solid organ transplant procedures. Examples of transplants for which Benefits are available include: • Bone marrow. • Heart. • Heart/lung. • Lung. • Kidney. • Kidney/pancreas. • Liver. • Liver/small intestine. • Pancreas. • Small intestine. Donor costs related to transplantation are Covered Health Care Services and are payable through the organ recipient's coverage under this Policy, limited to donor: • Identification. • Evaluation. • Organ removal. • Direct follow-up care. Benefits include the cost of hotel lodging and air transportation for the recipient Covered Person and a companion (or the Covered Person and two companions if the Covered Person is under the age of 18 years), to and from the site of the transplant. You can call us at the telephone number on your ID card for information about our specific guidelines regarding Benefits for transplant services.