Allied Health Facility definition

Allied Health Facility. An institution, other than a hospital, licensed by the appropriate state agency where required, and/or approved by the Plan Administrator to render Covered Services. Allied Health Professional – A person or entity, other than a hospital, Doctor of Medicine, or Doctor of Osteopathy, who is licensed by the appropriate state agency, where required, and/or approved by the Plan Administrator to render Covered Services. Allied Health Professional includes: Dentists, psychologists, certified nurse practitioners, optometrists, pharmacists, chiropractors, podiatrists, Physician’s assistants, registered nurse first assistants, advanced practice registered nurses, and any other health professional as mandated by state law for specified services, if approved by the Plan Administrator to render Covered Services. Allied Provider – Any Allied Health Facility or Allied Health Professional.

Examples of Allied Health Facility in a sentence

• The procedure to be followed is the same as that for an Admission to a Hospital or Allied Health Facility.

• Allied Provider – Any Allied Health Facility or Allied Health Professional.

• The Member must pay an Emergency Room Copayment, Deductible Amount and/or Coinsurance, if shown on the Schedule of Benefits, for each visit the Member makes to a Hospital or Allied Health Facility for Emergency Medical Services.

• Allied Health Facility – An institution, other than a Hospital, licensed by the appropriate state agency where required, and/or approved by the Claims Administrator to render Covered Services.

• The Plan Participant must pay an Emergency Room Copayment, Deductible Amount and/or Coinsurance, if shown on the Schedule of Benefits, for each visit the Plan Participant makes to a Hospital or Allied Health Facility for Emergency Medical Services.

• An Allied Health Facility Provider that is established with an organized medical staff of Physicians.

• Provider – A Hospital, Allied Health Facility, Physician, or Allied Health Professional that We approve, is licensed where required, and performs within the scope of that license.

• Allied Health Facility – An institution, other than a Hospital, licensed by the appropriate state agency where required, and/or approved by Us to render Covered Services.

• Incremental nursing charges which are in addition to the Hospital’s standard charge for Bed, Board and General Nursing Service; charges for luxury accommodations or any accommodations in any Hospital or Allied Health Facility provided primarily for the patient’s convenience; or Bed, Board and General Nursing Service in any other room at the same time Benefits are provided for use of a Special Care Unit.

• The Member must pay an Emergency room Copayment, Deductible Amount and/or Coinsurance, if shown on the Schedule of Benefits, for each visit the Member makes to a Hospital or Allied Health Facility for Emergency Medical Services.