Emergency Medical Services and Care definition

Emergency Medical Services and Care means medical screening, examination and evaluation by a Physician or, to the extent permitted by applicable law, by other appropriate personnel under the supervision of a Physician, to determine if an Emergency Medical Condition exists and, if it does, the care, treatment, or surgery for a Covered Service by a Physician necessary to relieve or eliminate the Emergency Medical Condition within the service capability of the Hospital. a. In-area emergency does not include elective or routine care, care of minor illnesses or care that can reasonably be sought and obtained from the Member’s Physician. The determination as to whether or not an illness or injury constitutes an Emergency Medical Condition will be made by AvMed and may be made retrospectively based upon all information known at the time the Member was present for treatment. b. Out-of-area emergency does not include care for Conditions for which a Member could reasonably have foreseen the need of such care before leaving the Service Area or care that could safely be delayed until prompt return to the Service Area. The determination as to whether or not an illness or injury constitutes an Emergency Medical Condition will be made by AvMed and may be made retrospectively based upon all information known at the time the Member was present for treatment.
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Emergency Medical Services and Care means medical screening, examination and evaluation by a Physician or, to the extent permitted by applicable law, by other appropriate personnel under the supervision of a Physician, to determine if an Emergency Medical Condition exists and, if it does, the care, treatment, or surgery for a Covered Service by a Physician necessary to relieve or eliminate the Emergency Medical Condition within the service capability of the Hospital.
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Examples of Emergency Medical Services and Care in a sentence

  • If Emergency Medical Services and Care are required while outside the continental United States, Alaska or Hawaii, it is the Member’s responsibility to pay for such services at the time they are received.

  • The amount that would be paid under Medicare for the Emergency Medical Services and Care.

  • In the event Hospital inpatient services are provided following Emergency Medical Services and Care, AvMed should be notified by the Hospital, Member or a designee, within 24 hours of the inpatient admission if reasonably possible.

  • Except for Emergency Medical Services and Care as provided in Part IX.

  • See Part IX., Emergency Services, with regard to inpatient admission following Emergency Medical Services and Care.

Related to Emergency Medical Services and Care

  • Emergency services means police, fire, ambulance, rescue, and medical services.

  • Genetic services means a genetic test, genetic counseling (including obtaining, interpreting, or assessing genetic information), or genetic education.

  • Educational Services means educational training provided to Entitled Students at a School;

  • Health and Human Services or “HHS” includes HHSC and DSHS.

  • Administration Services means the services required for the effective and efficient administration of Bonitas and includes, but are not necessarily limited to, member record management, contribution management, benefit option management, claims processing and management, management of members’ personal, claims and financial information and any other services that are required for the administration of Bonitas;