Examples of Certificate of Coverage in a sentence
DMEincludes, but is not limited to: • Braces; • Canes; Certificate of Coverage • Crutches; • Intermittent positive pressure breathing machine; • Hospital beds; • Standard outpatient oxygen delivery systems; • Traction equipment; • Walkers; • Wheelchairs; or • Any other items that are determined to be Medically Necessary by SHL’s Managed Care Program.
Certificate of Coverage Free Standing Emergency Room Facilities These facilities are licensed to provide emergency medical care and are physically separate fromhospitals.
Certificate of Coverage Benefits under this section do not include bone anchored hearing aids.
Insureds may delegate their responsibility to provide Certificate of Coverage notification to the non-network facility but it is the Insured’s responsibility to ensure that the Plan receives notification.
If the Insured receives services other than Emergency Services in a Substance-Relatedand Certificate of Coverage Addictive Disorder facility without obtaining Prior Authorization from SHL, benefits will be reduced to 50% of what the Insured would have receivedif the services hadbeen Prior Authorized, provided however, that the benefits paid will not be less than 50% of the Eligible Medical Expenses.