Medical Condition(s) definition
Examples of Medical Condition(s) in a sentence
Medical Conditions include heart attack, stroke, massive internal or external bleeding, fractured limbs, or severe trauma.
A Comparison of Household and Provider Reports of Medical Conditions.
Household and Medical Provider Reports on Medical Conditions: National Medical Expenditure Survey, 1987.
Chapter 6: A Comparison of Household and Provider Reports of Medical Conditions.
Guests will be requested to provide the required information via the Guest Portal at ▇▇▇▇▇-▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Mobility and Medical Conditions.
Utilization of and payments to Out-of-network Providers may, at Contractor’s option, be limited to the treatment of Emergency Medical Conditions, including Medically Necessary services rendered to the Member until such time as he or she may be safely transported to a network provider service location.
In addition, for all benefits, this Certificate does not cover any Treatment, services, or expenses of any kind caused directly or indirectly as a result of the following: • Pre-Existing Conditions; • reasonably foreseeable Medical Conditions; • failure to report a Covered Cause for Trip Cancellation or Trip Interruption immediately; • failure to obtain advance approval from the Administrator for certain expenses, including travel arrangements; Please see the relevant benefit section for details.
Any condition giving rise to a claim for which, within the 12 consecutive months prior to the Effective Date of Coverage, the Insured Person: Pre-Existing Medical Conditions has consulted a Medical Practitioner or specialist; or has received Medical Treatment or advice; or the manifestation of symptoms would have caused a reasonable person to seek advice.
The HMO must issue coverage determinations, including adverse determinations, according to the following timelines: • Within three (3) business days after receipt of the request for authorization of services; • Within one (1) business day for concurrent hospitalization decisions; and • Within one (1) hour for post-stabilization or life-threatening conditions, except that for Emergency Medical Conditions and Emergency Behavioral Health Conditions, the HMO must not require prior authorization.
Emergency Services are those medically necessary services available through the emergency department to medically screen, examine and Stabilize the patient for Emergency Medical Conditions.