Covered Transplant Procedure definition

Covered Transplant Procedure means any Medically Necessary, human-to- human, organ or tissue transplants performed upon a Member who satisfies medical criteria developed by the CO-OP for receiving transplant services.
Covered Transplant Procedure means any Medically Necessary, human-to-human, organ or tissue transplants performed upon an Insured who satisfies medical criteria developed by SHL for receiving transplant services.
Covered Transplant Procedure means any Medically Necessary, human-to-human, organ or tissue transplants performed upon a Member who satisfies medical criteria developed by HPN for receiving transplant services.

Examples of Covered Transplant Procedure in a sentence

  • If a Covered Transplant Procedure is not performed as scheduled due to a change in the Member’s medical condition or death, benefits will be paid for Prior Authorized Eligible Medical Expenses incurred during the Transplant Benefit Period.

  • Transplant Benefit Starts one day prior to a Starts one day prior to Period Covered Transplant Covered Transplant Procedure and continues for Procedure and continues the applicable case to the date of discharge.

  • The Contract will provide assistance with reasonable and necessary travel expenses as determined by Us when You obtain prior approval and are required to travel more than 75 miles from Your residence to reach the facility where Your Covered Transplant Procedure will be performed.

  • During the Transplant Benefit Period, Covered Transplant Procedure charges that count toward the Deductible will not apply to Your Out-of-Pocket Limit.

  • During the Transplant Benefit Period, Covered Transplant Procedure charges at a Non-Participating Transplant Provider Facility will not apply to Your Out-of-Pocket Limit.


More Definitions of Covered Transplant Procedure

Covered Transplant Procedure means any human to human Medically Necessary organ or tissue transplant specified in Part IX.H. of this Certificate, subject to the limitations stated in Part X. of this Certificate.
Covered Transplant Procedure includes any Medically Necessary human organ and stem cell/bone marrow transplants and transfusions as determined by us including necessary acquisition procedures, harvest and storage, and including Medically Necessary preparatory myeloablative therapy.
Covered Transplant Procedure means a Medically Necessary adult or pediatric human organ and tissue transplant:
Covered Transplant Procedure means any Medically Necessary, human-to-human solid organs (heart, lung, liver, pancreas, kidney, multi-visceral/small bowel, or any combination thereof as a multi-organ transplant), bone marrow, stem cell, cord-blood and islet transplants performed upon a Member who satisfies medical criteria developed by the CO-OP for receiving transplant services.
Covered Transplant Procedure means any Medically Necessary, human-to-human, organ or tissue transplants performed upon a Member who
Covered Transplant Procedure means any of the following non-experimental human to human organ or tissue transplants if the transplant is not an Experimental or Investigational Procedure and if provided through the National Medical Excellence Program: heart, heart and lung, lung, kidney, liver, pancreas, kidney and pancreas, and bone marrow.
Covered Transplant Procedure means a Medically Necessary adult or pediatric human organ and tissue transplant: