Designated Transplant Facility definition

Designated Transplant Facility a Hospital or Alternate Facility that has entered into an agreement with or on Our behalf to render Health Services for Covered transplants. The facility may or may not be located within Our Service Area. "Durable Medical Equipment" or "DME" - medical equipment that meets the following requirements.
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Designated Transplant Facility means a facility that has agreed to provide Approved Transplant Services to Covered Persons pursuant to an agreement with a transplant provider network or rental network with which the Plan has a contract.
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Designated Transplant Facility means a facility which has agreed to provide Approved Transplant Services to participants pursuant to either an agreement with the Plan, or an agreement with a transplant provider network with which the Plan has a contract.
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Examples of Designated Transplant Facility in a sentence

  • Covered Services for patient selection criteria shall be covered at one (1) Designated Transplant Facility.

  • If the second Designated Transplant Facility also determines the Member is not eligible for the transplant procedure, no coverage will be provided for further transplant-related services.

  • Benefits will be different for services provided at a Designated Transplant Facility than services provided at a Non-designated Transplant Facility.

  • A Board Certified Specialist must be utilized for this second opinion.A person who will be undergoing a transplant procedure will be referred to a Designated Transplant Facility.

  • This referral and authorization for services at a Designated Transplant Facility shall continue to be appropriate through the Transplant Benefit Period.If the Covered Person is denied the procedure by the Designated Transplant Facility, he/she may be referred to a second such facility for evaluation.

  • If a Member receives written notification from the Plan indicating the Member is ineligible for a transplant procedure by a Designated Transplant Facility, the Member may request a second opinion by another Designated Transplant Facility.

  • This applies regardless of whether the services or supplies are provided at a third Designated Transplant Facility or at a Non-designated Transplant Facility.

  • Designated Transplant Facility means a facility which has agreed to provide Approved Transplant Services to Covered Persons pursuant to an agreement with a transplant provider network or rental network with which the Plan has a contract.

  • Benefits payable for the donor will be charged to the recipient’s claim and subject to the Lifetime Maximum shown on the Schedule.Designated Facilities for Approved Transplant ServicesA person who is authorized for a transplant procedure will be referred to a Designated Transplant Facility.

  • A Designated Transplant Facility is a facility that must meet extensive criteria in the areas of patient outcomes to include patient and graft survival, patient satisfaction, Physician and program experience, program accreditations, and patient and caregiver education.

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