Medical Emergency or Accidental Injury definition

Medical Emergency or Accidental Injury means an emergent situation such as the sudden onset of a medical condition that manifests itself by signs and symptoms of sufficient severity, including severe pain, such that a prudent layperson, who possesses average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in serious jeopardy to the individual’s health or to a pregnancy in the case of a pregnant woman, serious impairment of bodily functions, or serious dysfunction of any bodily organ or part. Active labor is included if a time at which (a) delivery is imminent; (b) there is inadequate time to effect safe transfer to another hospital prior to delivery; or (c) a transfer may pose a threat to the health and safety of the patient or the unborn child and such other acute conditions.
Medical Emergency or Accidental Injury means an emergent problem such as the start of a medical condition that appears by signs and symptoms of severity, including severe pain, such that a prudent layperson, who has an average knowledge of health
Medical Emergency or Accidental Injury means an emergent situation, such as the sudden onset of a medical condition, that manifests itself by signs and symptoms of sufficient severity, including severe pain, such that a prudent layperson who possesses average knowledge of health and medicine could reasonably expect the absence of immediate medical attention to result in serious jeopardy to the individual’s health or to a pregnancy (in the case of a pregnant woman, serious impairment of bodily functions, or serious dysfunction of any bodily organ or part). Active labor is included if a time at which:

Examples of Medical Emergency or Accidental Injury in a sentence

  • Each Member agrees that all Authorized Benefits and Services must be provided by or authorized through this selected Affiliated Physician/PCP, except in the event of a Medical Emergency or Accidental Injury.

  • Agreed to use Affiliated or Referral Physicians and Affiliated or Referral Facilities and other Affiliated Providers only, except in case of a Medical Emergency or Accidental Injury or as otherwise stated in this Certificate of Coverage.

  • Members traveling outside the Service Area are not covered for out-of-area obstetrical services and related Hospital care within four (4) weeks of the estimated date of delivery, as determined by the Affiliated Physician, whether or not the obstetrical services and related Hospital care were required as a result of a Medical Emergency or Accidental Injury.

  • All Authorized Benefits and Services must be provided by or authorized and arranged through this designated PCP, except in the event of a Medical Emergency or Accidental Injury or as otherwise stated in this Certificate of Coverage.

  • Accidental Injury/Medical Emergency Care/Urgent Care Medical Emergency CareTreatment for a Medical Emergency or Accidental Injury in the emergency room of a Hospital or an Urgent Care facility is a benefit and does not require notification to Presbyterian Health Plan after the event.

  • Outpatient follow-up services necessary for the continued treatment of a Medical Emergency or Accidental Injury are Covered only within the Plan’s Service Area by Affiliated Providers or within the Cofinity/First Health Network, unless specifically authorized in writing by the Plan’s Medical Director or designee.

  • Outpatient follow-up services necessary for the continued treatment of a Medical Emergency or Accidental Injury are covered at the Member’s Designated Health Center only, unless specifically authorized in writing by the Plan’s Medical Director or designee.

  • The Prescription Drug was not prescribed or approved by a Physician within the Plan’s Service Area, but was ordered in the course of treating a Medical Emergency or Accidental Injury.

  • Each Member agrees and understands that all Authorized Benefits and Services must be provided by or authorized and arranged through this designated Primary Care Physician, except in the event of a Medical Emergency or Accidental Injury.

  • Outpatient follow-up services necessary for the continued treatment of a Medical Emergency or Accidental Injury are covered at the Member’s designated Health Center only, unless specifically authorized in writing by the Plan’s Medical Director or designee.


More Definitions of Medical Emergency or Accidental Injury

Medical Emergency or Accidental Injury means an emergent problem such as the start of a medical condition that appears by signs and symptoms of severity, including severe pain, such that a prudent layperson, who has an average knowledge of health and medicine, could reasonably expect the lack of immediate medical attention to result in serious harm to the individual’s health; or in the case of a pregnant woman, serious impairment of bodily
Medical Emergency or Accidental Injury means an emergent problem such as the start of a medical condition that appears by signs and symptoms of severity, including severe pain, such that a prudent layperson, who has an average knowledge of health and medicine, could reasonably expect the lack of immediate medical attention
Medical Emergency or Accidental Injury means an emergent situation such as the sudden onset of a medical condition that manifests itself by signs and symptoms of sufficient severity,
Medical Emergency or Accidental Injury means an emergent situation such as the sudden onset of a medical condition that manifests itself by signs and symptoms of sufficient severity, including severe pain, such that a prudent layperson, who possesses average knowledge of health
Medical Emergency or Accidental Injury means an emergent problem such as the start a medical condition that appears by signs and symptoms of enough severity, including severe pain, such that a prudent layperson, who has an average knowledge of health and medicine, could reasonably expect the lack of immediate medical attention to result in serious harm to the individual’s health; or in the case of a pregnant woman, serious impairment of bodily functions, or serious problem with any body organ or part. Active labor is included if a time at which (a) delivery is about to happen; (b) there is not enough time to make a safe transfer to another hospital prior to delivery; or (c) a transfer may pose a threat to the health and safety of the patient or the unborn child.

Related to Medical Emergency or Accidental Injury

  • Medical emergency means a condition caused by an Injury or Sickness that manifests itself by symptoms of sufficient severity that a prudent layperson possessing an average knowledge of health and medicine would reasonably expect that failure to receive immediate medical attention would place the health of the person in serious jeopardy.

  • psychiatric emergency medical condition means a Mental Disorder that manifests itself by acute symptoms of sufficient severity that it renders the patient as being either of the following:

  • Catastrophic injury or illness means a life-threatening injury or illness of an employee or a member of an employee's immediate family that totally incapacitates the employee from work, as verified by a licensed physician, and forces the employee to exhaust all leave time earned by that employee, resulting in the loss of compensation from the state for the employee. Conditions that are short-term in nature, including, but not limited to, common illnesses such as influenza and the measles, and common injuries, are not catastrophic. Chronic illnesses or injuries, such as cancer or major surgery, that result in intermittent absences from work and that are long-term in nature and require long recuperation periods may be considered catastrophic.

  • Eligible Crisis or Emergency means an event that has caused, or is likely to imminently cause, a major adverse economic and/or social impact to the Recipient, associated with a natural or man-made crisis or disaster.

  • Emergency Medical Transportation means the transportation, by ambulance, of sick, injured or otherwise incapacitated persons who require emergency medical care.

  • Unforeseeable Financial Emergency means an unanticipated emergency that is caused by an event beyond the control of the Participant that would result in severe financial hardship to the Participant resulting from (i) a sudden and unexpected illness or accident of the Participant or a dependent of the Participant, (ii) a loss of the Participant's property due to casualty, or (iii) such other extraordinary and unforeseeable circumstances arising as a result of events beyond the control of the Participant, all as determined in the sole discretion of the Committee.

  • Explosives or munitions emergency response means all immediate response activities by an explosives and munitions emergency response specialist to control, mitigate, or eliminate the actual or potential threat encountered during an explosives or munitions emergency. An explosives or munitions emergency response may include in-place render-safe procedures, treatment or destruction of the explosives or munitions and/or transporting those items to another location to be rendered safe, treated, or destroyed. Any reasonable delay in the completion of an explosives or munitions emergency response caused by a necessary, unforeseen, or uncontrollable circumstance will not terminate the explosives or munitions emergency. Explosives and munitions emergency responses can occur on either public or private lands and are not limited to responses at RCRA facilities.

  • Public health emergency means an emergency with respect to COVID–19 declared by a Federal, State, or local authority.

  • COVID-19 emergency means the emergencies declared in the Declaration of Public Emergency (Mayor's Order 2020-045) together with the Declaration of Public Health Emergency (Mayor's Order 2020-046), declared on March 11, 2020, including any extension of those declared emergencies.

  • Minimum Generation Emergency means an Emergency declared by the Office of the Interconnection in which the Office of the Interconnection anticipates requesting one or more generating resources to operate at or below Normal Minimum Generation, in order to manage, alleviate, or end the Emergency.

  • System Emergency has the meaning set forth in the CAISO Tariff.

  • Catastrophic illness or “injury” means an illness or injury that is expected to incapacitate the employee for an extended period of time, or that incapacitates a member of the employee’s family which incapacity requires the employee to take time off from work for an extended period of time to care for that family member, and taking extended time off work creates a financial hardship for the employee because he or she has exhausted all of his or her sick leave and other paid time off.

  • Catastrophic illness or injury means one of the following:

  • Disease means an alteration in the state of the body or of some of its organs, interrupting or disturbing the performance of the functions, and causing or threatening pain and weakness or physical or mental disorder and certified by a Medical Practitioner.

  • Environmental emergency means any situation that has caused or may cause serious harm to human health or damage to the environment, irrespective of whether the potential for harm or damage is immediate or delayed;

  • Maximum Generation Emergency Alert means an alert issued by the Office of the Interconnection to notify PJM Members, Transmission Owners, resource owners and operators, customers, and regulators that a Maximum Generation Emergency may be declared, for any Operating Day in either, as applicable, the Day-ahead Energy Market or the Real-time Energy Market, for all or any part of such Operating Day. Maximum Run Time:

  • Financial Emergency means a situation wherein the Insured Person loses all or a substantial amount of his/her travel funds due to theft, robbery, mugging or dacoity, which has detrimental effects on his/her travel plans.

  • Emergency worker means any person who is registered with a local emergency management organization or the department and holds an identification card issued by the local emergency management director or the department for the purpose of engaging in authorized emergency management activities or is an employee of the state of Washington or any political subdivision thereof who is called upon to perform emergency management activities.

  • Explosives or munitions emergency response specialist means an individual trained in chemical or conventional munitions or explosives handling, transportation, render-safe procedures, or destruction techniques. Explosives or munitions emergency response specialists include Department of Defense (DOD) emergency explosive ordnance disposal (EOD), technical escort unit (TEU), and DOD-certified civilian or contractor personnel; and other Federal, State, or local government, or civilian personnel similarly trained in explosives or munitions emergency responses.

  • Mental, Nervous or Psychological Disorder means a mental or nervous health condition including, but not limited to: anxiety, depression, neurosis, phobia, psychosis; or any related physical manifestation.

  • Emergency Energy means energy supplied from Operating Reserve or electrical generation available for sale in New York or PJM or available from another Balancing Authority Area. Emergency Energy may be provided in cases of sudden and unforeseen outages of generating units, transmission lines or other equipment, or to meet other sudden and unforeseen circumstances such as forecast errors, or to provide sufficient Operating Reserve. Emergency Energy is provided pursuant to this Agreement and the Inter Control Area Transactions Agreement dated May 1, 2000 and priced according to Section 35.6.4 of this Agreement and said Inter Control Area Transactions Agreement.

  • Advanced emergency medical technician or “AEMT” means an individual who has successfully completed a course of study based on the United States Department of Transportation’s Advanced Emergency Medical Technician Instructional Guidelines (January 2009), has passed the psychomotor and cognitive examinations for the AEMT, and is currently certified by the department as an AEMT.

  • Maximum Generation Emergency means an Emergency declared by the Office of the Interconnection to address either a generation or transmission emergency in which the Office of the Interconnection anticipates requesting one or more Generation Capacity Resources, or Non- Retail Behind The Meter Generation resources to operate at its maximum net or gross electrical power output, subject to the equipment stress limits for such Generation Capacity Resource or Non-Retail Behind The Meter resource in order to manage, alleviate, or end the Emergency.

  • Emergency medical condition means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in any of the following:

  • Emergency expulsion means the removal of a student from school because the student’s statements or behavior pose an immediate and continuing danger to other students or school personnel, or an immediate and continuing threat of material and substantial disruption of the educational process, subject to the requirements in WAC 392-400-510 through 392-400-530

  • Authorized emergency vehicle means any of the following: