High Medical Costs definition

High Medical Costs means: To include annual out of pocket costs at the hospital that exceed the lesser of 10% of the patient’s current family income or the family income in the prior 12 months.
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High Medical Costs means the annual out-of-pocket costs of a patient whose family income exceeds the Organization’s thresholds for financial assistance. These costs are considered if they are either: (i) incurred by the patient at the Organization’s hospital that exceed the lesser of the patient’s current family income or family income in the prior twelve (12) months, or (ii) out-of- pocket medical expenses that exceed ten percent (10%) of the patient’s family income, if thepatient provides documentation of the patient’s medical expenses paid by the patient or the patient’s family in the prior twelve (12) months.
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High Medical Costs means: (1) annual out of pocket costs incurred by the individual at RCH exceed 10% of the patient’s family income for the prior 12 months; (2) annual out of pocket expenses that exceed 10% of the patient’s family income, if the patient provides documentation of the patient’s medical expenses paid by the patient or the patient’s family in the prior 12 months; or (3) a lower level determined by RCH in accordance with this policy.
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Examples of High Medical Costs in a sentence

  • High Medical Costs: Is a person whose family income does not exceed 350 percent of the FPL percent if that individual does not receive a discounted rate from the hospital because of his or her third party coverage.

  • EligibilityEligibility for charity care will be considered for those individuals who are unable to pay for their care and are uninsured and ineligible for any government health care program or for those patients that have High Medical Costs.

  • An emergency physician, as defined in Health and Safety Code Section 127450, who provides emergency medical services in a hospital that provides emergency care, is also required by law to provide discounts to Uninsured Patients or Patients with High Medical Costs who are at or below 350% of the applicable FPG.

  • A patient is eligible for financial assistance under this Policy if (1) the patient’s family income is equal to or less than 350% of the applicable FPG and (2) the patient is either an Uninsured Patient or a Patient with High Medical Costs.

  • Both Self-Pay Patients and Patients with High Medical Costs shall be eligible to apply for the Discounted Payment Program.

  • Patients with High Medical Costs also must provide documentation of medical expenses paid by such patients or their families in the prior 12 months.

  • The Patient is an Uninsured Patient or a Patient with High Medical Costs; and 2.

  • High Medical Costs for Insured Patients Charity Care (“High Medical Costs Charity Care”): High Medical Costs Charity Care is a complete write-off of the Patient Responsibility Amount for Covered Services.

  • Emergency physicians who provide emergency medical services in a hospital that provides emergency care are required by law to provide discounts to Self-Pay Patients and Patients with High Medical Costs who are at or below 350 percent of the Federal Poverty Level.

  • The FSC recognises that this approach fits well with their aims and objectives.


More Definitions of High Medical Costs

High Medical Costs means a person whose family income does not exceed 350% of the Federal Poverty Level if the patient does not receive a discounted rate from the hospital as a result of his or her third-party coverage. For the purposes of this policy high medical cost is defined as:
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High Medical Costs means: (1) annual out of pocket costs incurred by the individual at RCH exceed 10% of the patient’s family income for the prior 12 months; (2) annual out of pocket expenses that exceed 10% of the patient’s family income, if the patient provides documentation of the patient’s medical expenses paid
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High Medical Costs means any of the following, as applied to the date(s) of service:
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High Medical Costs means any of the following:
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Related to High Medical Costs

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • DEVELOPMENTAL SERVICES means therapies, typically provided by a qualified professional using a treatment plan, that are intended to lessen deficiencies in normal age appropriate function. The therapies generally are meant to limit deficiencies related to injury or disease that have been present since birth. This is true even if the deficiency was detected during a later developmental stage. The deficiency may be the result of injury or disease during the developmental period. Developmental services are applied for sustained periods of time to promote acceleration in developmentally related functional capacity. This plan covers developmental services unless specifically listed as not covered.

  • Medical Expenses means those expenses that an Insured Person has necessarily and actually incurred for medical treatment on account of Illness or Accident on the advice of a Medical Practitioner, as long as these are no more than would have been payable if the Insured Person had not been insured and no more than other hospitals or doctors in the same locality would have charged for the same medical treatment.

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • Emergency medical technician means a person who is either an EMT-I, EMT-II, or EMT-P (paramedic), and possesses a valid certificate or license in accordance with the standards of Division 2.5 (commencing with Section 1797) of the Health and Safety Code.

  • Emergency medical services or “EMS” means an integrated medical care delivery system to provide emergency and nonemergency medical care at the scene or during out-of-hospital patient transportation in an ambulance.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.