Common use of Transplants Clause in Contracts

Transplants. This plan covers transplant services when they are provided at an approved transplant center. An approved transplant center is a hospital or other provider that Premera has approved for solid organ transplants or bone marrow or stem cell reinfusion. Please call us as soon as you learn you need a transplant. This plan only covers transplant procedures that are not considered Experimental or Investigational for Your condition. Solid organ transplants and bone marrow/stem cell reinfusion procedures must meet coverage criteria. We review the medical reasons for the transplant, how effective the procedure is and possible medical alternatives. Artificial organ transplants are covered based on your doctor’s medical guidelines and the manufacturer recommendations. These are the types of transplants and reinfusion procedures that meet our medical policy criteria for coverage: • Heart • Heart/double lung • Single lung • Double lung • Liver • Kidney • Pancreas • Pancreas with kidney • Bone marrow (autologous and allogeneic) • Stem cell (autologous and allogeneic) Under this benefit, transplant does not include cornea transplant or skin grafts. It also does not include transplants of blood or blood derivatives (except bone marrow or stem cells). These procedures are covered the same way as other covered surgical procedures.

Transplants. This plan covers transplant services when they are provided at an approved transplant center. An approved transplant center is a hospital or other provider that Premera LifeWise has approved for solid organ transplants or bone marrow or stem cell reinfusion. Please call us as soon as you learn you need a transplant. This plan only covers transplant procedures that are not considered Experimental or Investigational for Your condition. Solid organ transplants and bone marrow/stem cell reinfusion procedures must meet coverage criteria. We review the medical reasons for the transplant, how effective the procedure is and possible medical alternatives. Artificial organ transplants are covered based on your doctor’s medical guidelines and the manufacturer recommendations. These are the types of transplants and reinfusion procedures that meet our medical policy criteria for coverage: •  Heart •  Heart/double lung •  Single lung •  Double lung •  Liver •  Kidney •  Pancreas •  Pancreas with kidney •  Bone marrow (autologous and allogeneic) •  Stem cell (autologous and allogeneic) Under this benefit, transplant does not include cornea transplant or skin grafts. It also does not include transplants of blood or blood derivatives (except bone marrow or stem cells). These procedures are covered the same way as other covered surgical procedures.

Transplants. This plan covers transplant services when they are provided at an approved transplant center. An approved transplant center is a hospital or other provider that Premera has approved for solid organ transplants or bone marrow or stem cell reinfusion. Please call us as soon as you learn you need a transplant. This plan only covers transplant procedures that are not considered Experimental or Investigational for Your condition. Solid organ transplants and bone marrow/stem cell reinfusion procedures must meet coverage criteria. We review the medical reasons for the transplant, how effective the procedure is and possible medical alternatives. Artificial organ transplants are covered based on your doctor’s medical guidelines and the manufacturer recommendations. These are the types of transplants and reinfusion procedures that meet our medical policy criteria for coverage: •  Heart •  Heart/double lung •  Single lung •  Double lung •  Liver •  Kidney •  Pancreas •  Pancreas with kidney •  Bone marrow (autologous and allogeneic) •  Stem cell (autologous and allogeneic) Under this benefit, transplant does not include cornea transplant or skin grafts. It also does not include transplants of blood or blood derivatives (except bone marrow or stem cells). These procedures are covered the same way as other covered surgical procedures.

Transplants. This plan covers transplant services when they are provided at an approved transplant center. An approved transplant center is a hospital or other provider that Premera has approved for solid organ transplants or bone marrow or stem cell reinfusion. No waiting or exclusion periods apply for coverage of transplant services. Please call us as soon as you learn you need a transplant. This plan covers only covers transplant procedures that are not considered Experimental or Investigational for Your condition. Solid organ transplants (including live donor, cadavers and artificial organs) and bone marrow/stem cell reinfusion procedures must meet coverage criteria. We review the medical reasons for the transplant, how effective the procedure is and possible medical alternatives. Artificial organ transplants are covered based on your doctor’s medical guidelines and the manufacturer recommendations. These are the types of transplants and reinfusion procedures that meet our medical policy criteria for coverage: • Heart • Heart/double lung • Single lung • Double lung • Liver • Kidney • Pancreas • Pancreas with kidney • Bone marrow (autologous and allogeneic) • Stem cell (autologous and allogeneic) Under this benefit, transplant does not include cornea transplant or skin grafts. It also does not include transplants of blood or blood derivatives (except bone marrow or stem cells). These procedures are covered the same way as other covered surgical procedures.

Transplants. This plan covers transplant services when they are provided at an approved transplant center. An approved transplant center is a hospital or other provider that Premera has approved for solid organ transplants or bone marrow or stem cell reinfusion. No waiting or exclusion periods apply for coverage of transplant services. Please call us as soon as you learn you need a transplant. This plan covers only covers transplant procedures that are not considered Experimental or Investigational for Your condition. Solid organ transplants (including live donor, cadavers and artificial organs) and bone marrow/stem cell reinfusion procedures must meet coverage criteria. We review the medical reasons for the transplant, how effective the procedure is and possible medical alternatives. Artificial organ transplants are covered based on your doctor’s medical guidelines and the manufacturer recommendations. These are the types of transplants and reinfusion procedures that meet our medical policy criteria for coverage: •  Heart •  Heart/double lung •  Single lung •  Double lung •  Liver •  Kidney •  Pancreas •  Pancreas with kidney •  Bone marrow (autologous and allogeneic) •  Stem cell (autologous and allogeneic) Under this benefit, transplant does not include cornea transplant or skin grafts. It also does not include transplants of blood or blood derivatives (except bone marrow or stem cells). These procedures are covered the same way as other covered surgical procedures.

Transplants. This plan covers transplant services when they are provided at an approved transplant center. An approved transplant center is a hospital or other provider that Premera LifeWise has approved for solid organ transplants or bone marrow or stem cell reinfusion. Please call us as soon as you learn you need a transplant. This plan only covers transplant procedures that are not considered Experimental or Investigational for Your condition. Solid organ transplants and bone marrow/stem cell reinfusion procedures must meet coverage criteria. We review the medical reasons for the transplant, how effective the procedure is and possible medical alternatives. Artificial organ transplants are covered based on your doctor’s medical guidelines and the manufacturer recommendations. These are the types of transplants and reinfusion procedures that meet our medical policy criteria for coverage: • Heart • Heart/double lung • Single lung • Double lung • Liver • Kidney • Pancreas • Pancreas with kidney • Bone marrow (autologous and allogeneic) • Stem cell (autologous and allogeneic) Under this benefit, transplant does not include cornea transplant or skin grafts. It also does not include transplants of blood or blood derivatives (except bone marrow or stem cells). These procedures are covered the same way as other covered surgical procedures.