Second surgical opinion definition

Second surgical opinion means an evaluation of the need for surgery by a second Physician (or a third Physician if the opinions of the Physician recommending surgery and the second Physician are in conflict), including the Physician’s exam of the patient and diagnostic testing.
Second surgical opinion means an evaluation of the need for surgery by a second doctor (or third doctor if the opinions of the doctor recommending surgery and the second doctor are in conflict), including the doctor’s exam of the patient and diagnostic testing.
Second surgical opinion means expenses incurred for examination, x-ray, and lab performed by a qualified physician in the approved specialty to substantiate medical necessity of the procedure to be performed. A third opinion will be paid in case of a conflict between the first two (2) opinions.

Examples of Second surgical opinion in a sentence

  • The Plan will consist of three principal components: (1) Second surgical opinion program; (2) Home Health Care; and (3) alternative delivery systems.

  • Special covered expenses Plan pays 100% of expenses for (not subject to deductible): − Pre-admission tests − One routine pap smear, pelvic exam, mammogram, testicular exam, prostate exam, colorectal cancer screening, blood analysis, and urinalysis per calendar year − Second surgical opinion − Lab and X-Ray to $200 Preventative Care per the ACA, including exams and immunizations, contraception, etc.

  • Second surgical opinion details are provided in the Plan booklet.

  • Second surgical opinion, pre-admission review and case management shall be part of the Plan provided that failure to use these processes shall not cause any reduction in benefit nor penalty to the employee.


More Definitions of Second surgical opinion

Second surgical opinion means an opinion received prior to the performance of surgery from a second physician, licensed to practice medicine and perform surgery, who is not related or financially associated with the first qualified physician who recommended the elective surgery based on examination of the Covered Person, regarding the advisability of the elective surgical procedure proposed by the first qualified physician. An opinion by a physician who is not qualified to perform surgery is not considered a surgical opinion.
Second surgical opinion means an opinion of an eligible physician based on that physician's examination of a person for the purpose of evaluating the medical advisability of that
Second surgical opinion means an independent opinion obtained from another physician before the performance of a surgical procedure recommended by the initial physician.]
Second surgical opinion means a concurring opinion made prior to surgery by a Board Certified Specialist who is not financially associated with the referring Physician. The purpose of the Second Surgical Opinion is to obtain another opinion as to the medical necessity of the recommended surgery.
Second surgical opinion means an evaluation of the need for surgery by a second physician.
Second surgical opinion means an opinion of an eligible physician based on that physician's examination of a person for the purpose of evaluating the medical advisability of that person undergoing an elective surgical procedure, but prior to the performance of the surgical procedure.