Routine Patient Care definition

Routine Patient Care means all health care services consistent with the coverage provided in the policy for the treatment of cancer, including the type and frequency of any diagnostic modality, that is typically covered for a cancer patient who is not enrolled in a Cancer Clinical Trial, and that was not necessitated solely because of the trial.
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Routine Patient Care costs” mean items, drugs and Services: 1. That are typically provided absent a clinical trial; 2. Required solely for the provision of the investigational item or service (such as the administration of a non-covered chemotherapeutic agent), the clinically appropriate monitoring of the effects of the item or service, or the prevention of complications; and 3. Needed for reasonable and necessary care arising from the provision of an investigational item or service, including the diagnosis or treatment of complications. Note: Coverage will not be restricted solely because the Member received the Service outside of the Service Area or the Service was provided by a non-Plan Provider. Off-Label Use of Drugs or Devices We also cover Patient Costs incurred for drugs and devices that have been approved for sale by the FDA whether or not the FDA has approved the drug or device for use in treating the patient’s particular condition, to the extent that the drugs or devices are not paid for by the manufacturer, distributor or provider of that drug or device. See the benefit-specific exclusions immediately below for additional information.
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Routine Patient Care means all health care services
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Examples of Routine Patient Care in a sentence

  • Routine Patient Care Costs incurred during participation in an Approved Clinical Trial for the treatment of cancer or other Life-threatening Condition.

  • Routine Patient Care Costs incurred while taking part in an Approved Clinical Trial for the treatment of cancer or other Life-threatening Condition.

  • Clinical Trials - Routine Patient Care CostsBenefits are available for routine patient care costs incurred during participation in a qualifying Clinical Trial for the treatment of cancer or other life-threatening disease or condition.

  • Charges for Routine Patient Care Costs as defined by the Plan associated with a Cancer Clinical Trial within the Plan’s definition.

  • Hospitalization for Routine Patient Care Costs in connection with Cancer Clinical Trials shall include treatment at an Out-of-Network facility if such treatment is not available In-Network and not eligible for reimbursement by the sponsors of such clinical trial, Out-of Network Hospitalization will be rendered at no greater cost to the insured person than if such treatment was available In-Network, all applicable In-Network Cost-Shares will apply.

  • Routine Patient Care Costs incurred in the course of an Approved Clinical Trial for Qualified Individuals.

  • We will cover Routine Patient Care administered to an insured participating in any stage of an eligible cancer clinical trial, if that care would be covered under the Plan if the insured was not participating in a clinical trial.

  • Render initial care in accordance with the Routine Patient Care Protocol.2. Oxygen: If respiratory distress noted, 15 LPM via NRM or 6 LPM via nasal cannula.

  • We will cover Routine Patient Care administered to an insured participating in a federally funded or an approved clinical trial that is defined as a Phase I, Phase II, Phase III, Phase IV clinical trial that is conducted in relation to the prevention, detection, or treatment of cancer or other life threatening diseasesor conditions.

  • This Plan does not cover any charge for care, supplies, treatment, and/or services that are Experimental or Investigational, expect for Routine Patient Care Costs in Approved Clinical Trials.


More Definitions of Routine Patient Care

Routine Patient Care means all health care services consistent with
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Routine Patient Care means all health care services consistent with the coverage provided in the health benefit plan or public employee benefit plan for the treatment of cancer, including
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Related to Routine Patient Care

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Inpatient care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

  • Urgent Care means treatment for a condition that is not a threat to life or limb but does require prompt medical attention. Also, the severity of an urgent condition does not necessitate a trip to the hospital emergency room. An Urgent Care facility is a freestanding facility that is not a physician’s office and which provides Urgent Care.

  • Routine care means medical care which is not urgent or emergent in nature and can wait for a regularly scheduled physician appointment without risk of permanent damage to the patient’s life or health status. The condition requiring routine care is not likely to substantially worsen without immediate clinical intervention.

  • Preventive Care means certain Preventive Care services.

  • Inpatient services means services provided to you as an admitted inpatient in a recognised private or public hospital for treatment that is in an included clinical category, has a Medicare item number allocated and a Medicare benefit is payable.

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Palliative care means medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services ren- dered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Respiratory care means the practice of the allied health profession responsible for the direct and