Common use of Transplants Clause in Contracts

Transplants. If the following criteria are met, we cover stem cell rescue and transplants of organs, tissue or bone marrow: 1. You satisfy all medical criteria developed by Medical Group and by the facility providing the transplant; 2. The facility is certified by Medicare; and 3. A Plan Provider provides a written referral for care at the facility. After the referral to a transplant facility, the following applies: 1. Unless otherwise authorized by Medical Group, transplants are covered only in our Service Area.