Retail Health Clinic definition

Retail Health Clinic means a Participating Provider that has entered into a contractual agreement with HMO to provide treatment of uncomplicated minor illnesses. Retail Health Clinics are typically located in retail store s and are typically staffed by Advanced Practice Nurses or Physician Assistants. Rider(s) means additional or expanded benefits which are made available to the Group. Such Rider(s), when purchased, will be attached to and incorporated into the Certificate. Routine Patient Care Costs means the costs of any Medically Necessary health care service for which benefits are provided under the Health Benefit Plan, without regard to whether the Member is participating in a clinical trial. Routine patient care costs do not include: • the cost of an investigational new drug or device that is not approved for any indication by the United States Food and Drug Administration, including a drug or device that is the subject of the clinical trial; • the cost of a service that is not a health care service, regardless of whether the service is required in connection with participation in a clinical trial; • the cost of a service that is clearly inconsistent with widely accepted and established standards of care for a particular diagnosis; • the cost associated with managing a clinical trial; or • the cost of a health care service that is specifically excluded from coverage under the HMO.

Retail Health Clinic means a Participating Provider that has entered into a contractual agreement with HMO to provide treatment of uncomplicated minor illnesses. Retail Health Clinics are typically located in retail store s and are typically staffed by Advanced Practice Nurses or Physician Assistants. Rider(s) means additional or expanded benefits which are made available to the Group. Such Rider(s), when purchased, will be attached to and incorporated into the Certificate. Routine Patient Care Costs means the costs of any Medically Necessary health care service for which benefits are provided under the Health Benefit Plan, without regard to whether the Member is participating in a clinical trial. Routine patient care costs do not include: • The investigational item, device, or service, itself; • Items and services that are provided solely to satisfy data collection and analysis needs that are not used in the direct clinical management of the patient; or • A service that is clearly inconsistent with widely accepted and established standards of care for a particular diagnosis.

Retail Health Clinic means a health care facility located within

Examples of Retail Health Clinic in a sentence

• Retail Health Clinic means a Participating Provider that has entered into a contractual agreement with HMO to provide treatment of uncomplicated minor illnesses.

• Retail Health ClinicBenefits are provided for Covered Services received at a Retail Health Clinic.

• Retail Health Clinic means a Provider that provides treatment of uncomplicated minor illnesses.

• Retail Health Clinics are mini-medical office chains typically staffed by nurse practitioners with an on-call physician.Retail Health Clinic services are non-emergency and non-urgent services for common ailments for which a reasonable, prudent layperson who possesses an average knowledge of health and medicine would seek in a Retail Health Clinic, including, but not limited to: ear, bladder, and sinus infections; pink eye; flu, and strep throat.1.25 Telemedicine ServicesA.

• Examples of common ailments for which a reasonable, prudent layperson who possesses an average knowledge of health and medicine would seek Retail Health Clinic care, include but are not limited to: ear, bladder, and sinus infections; pink eye; flu; and strep throat.

• Retail Health Clinic means mini-medical office chains typically staffed by nurse practitioners with an on- call physician.

• Retail Health Clinic – A non-emergency medical health clinic providing limited primary care services and operating generally in retail stores and outlets.

• Such manpower will in turn be able to identify expert sources and other resources within the libraries and universities and be in a position to direct and guide on ways of acquiring and appropriately coding tacit knowledge.

• A “Non-Participating Retail Health Clinic” means a Retail Health Clinic which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

• Physician office visits, Physician office visits in Retail Health Clinic, Physician Outpatient Hospital visits and Physician Outpatient Urgent Care visits by a Preferred Provider are paid at Anthem Blue Cross’ Allowable Amount or the local Blue Cross and/or Blue Shield Plan’s Allowable Amount less the Member’s $20 or $35 Copayment.