Necessary medical services definition
Examples of Necessary medical services in a sentence
Necessary medical services are limited to necessary medical, surgical, dental, x- ray, ambulance, hospital, professional nursing and funeral services.
Necessary medical services do not include treatment, services, products or procedures that are experimental in nature, or not commonly and customarily recognized throughout the medical profession and within the United States as appropriate for the treatment of bodily injury.
PARTICIPATING MEDICAL GROUP agrees that, in the event a Member who is covered for workers’ compensation benefits by a workers’ compensation carrier affiliated with BLUE CROSS, seeks services for a work-related illness or injury, PARTICIPATING MEDICAL GROUP shall have the option to (a) provide such Medically Necessary medical services or (b) refer such Member to a provider that participates in the Prudent Buyer Comp provider network or the CalCare Comp provider network, whichever is applicable.
Necessary medical services mean prescribed medical services which are reasonable and necessary for treatment of the bodily injury, including the number and duration of treatments in the region in which those services are provided.
Treatment of delirium, dementia, amnesic disorders (as defined in the DSM-IV) and mental retardation are covered for Medically Necessary medical services but covered for accompanying behavioral and/or psycho- logical symptoms only if amenable to psychotherapeutic or psychiatric treatment.
PARTICIPATING MEDICAL GROUP agrees that, in the event a Member who is covered for workers’ compensation benefits by a workers’ compensation carrier affiliated with BLUE CROSS, seeks services for a work-related illness or injury, PARTICIPATING MEDICAL GROUP shall have the option to (a) provide such Medically Necessary medical services or (b) refer such Member to a provider that participates in the Prudent Buyer Comp provider network or the CaliforniaCare Comp provider network, whichever is applicable.
PARTICIPATING MEDICAL GROUP shall have the option to (a) provide such Medically Necessary medical services or (b) refer such Member to a provider that participates in the Prudent Buyer Comp provider network or the CalCare Comp provider network, whichever is applicable.
PARTICIPATING MEDICAL GROUP agrees that, in the event a Member who is covered for workers' compensation benefits by a workers' compensation carrier affiliated with BLUE CROSS, seeks services for a work-related illness or injury, PARTICIPATING MEDICAL GROUP shall have the option to (a) provide such Medically Necessary medical services or (b) refer such Member to a provider that participates in the Prudent Buyer Comp provider network or the CalCare Comp provider network, whichever is applicable.
Treatment of delirium, dementia, amnesic disorders (as defined in the DSM-IV) and mental retardation are covered for Medically Necessary medical services but covered for accompanying behavioral and/or psychological symptoms only if amenable to psychotherapeutic or psychiatric treatment.