Physician service definition

Physician service means a medically necessary health service provided by or under the supervision of a physician.

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Physician service means those services which a Participating Physician agrees to make available to Beneficiaries of Qualified Health Plans, when such services are covered under the Health Plan, and such services are required by a Beneficiary’s medical condition. Participating Physicians agree to provide medical care and surgical care as appropriate to Beneficiaries within the parameters of their practice or specialty and within existing office schedules and physician settings which they customarily provide for all patients.

Physician service means medical assessment, treatments, and surgical services provided by licensed allopathic or osteopathic physicians within the scope of practice.

Examples of Physician service in a sentence

• Covered non-Emergency Services and emergency room follow-up services within the Primary Care Physician service area (e.g., suture removal, wound check, etc.) must be authorized by Blue Shield or obtained through the Member’s Primary Care Physician.

• Physician service cost-sharing may apply for outpatient consultations.

• Physician service cost‑sharing may apply for outpatient consultations.

• Physician service cost sharing may apply for outpatient consultations.

• Most common eligible medical expenses: • Insurance plan deductibles • Insurance plan coinsurance • Office visit copays • Physician service copays • Prescription copays • Over-the-counter drugs* *IRS requires a doctor's note or prescription for over-the-counter drugs or medication, or menstrual care products purchased through December 31, 2019.

More Definitions of Physician service

Physician service means a service provided within the scope of practice of medicine or osteopathy as defined by state law, by, or under the direction of a person licensed under state law to practice medicine or osteopathy.

Physician service means: (i) an insured service within the meaning of The Saskatchewan Medical Care Insurance Act provided to a beneficiary by a physician; and (ii) a service provided by a physician for an individual or agency such as SGI, WCB, or services provided to an out of province individual or agency, or provided under specific authority granted to the physician as required by agencies such as MOT, RCMP, or for services provided and not insured by the Province.