Specialist care definition

Specialist care means health care services provided by a physician licensed pursuant to the provisions of Title 40 who has completed advanced education and clinical training in a specific area of medicine.
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Specialist care means Covered Services rendered by a Participating Physician who is not a Primary Care Physician.
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Examples of Specialist care in a sentence

  • You do not need a Referral from a PCD before receiving Specialist care.

  • Included Annual Deductible Primary and Specialist care This benefit pays for consultation, diagnostic procedures, prescribed drugs and dressings received as part of an out-patient treatment.

  • A Participating Physician who supervises, coordinates and provides initial care and basic Medical Services as a general or family care practitioner, or in some cases, as an internist or a pediatrician to Members, initiates their Referral for Specialist care, and maintains continuity of patient care.

  • IPA shall require each PCP to meet the credentialing standards of WellCare for designation as a PCP and to provide continuity of care to the Member who seeks his or her care by supervising, coordinating, and providing initial and basic care and initiating a referral for Specialist care when Medically Necessary.

  • An IPA Physician specializing in Family Practice, General Practice, Internal Medicine or Pediatrics who has met the credentialing standards of WellCare for designation as a primary care physician and provides continuity of care to the Member who seeks his/her care by supervising, coordinating and providing initial and basic care and initiating referrals for Specialist care.

  • Included Annual Deductible Out-patient Treatment Primary and Specialist care This benefit pays for consultation, diagnostic procedures, prescribed drugs and dressings received as part of an out-patient treatment.

  • Although You are encouraged to receive care from Your PCD, You do not need a written Referral from a PCD before receiving Specialist care from a Participating Provider.

  • You need a written Referral from a PCD before receiving Specialist care from a Participating Provider.

  • A Participating Physician who supervises, coordinates and provides initial care and basic Medical Services as a general or family care practitioner, or in some cases, as an internist, obstetrician, gynecologist or a pediatrician to Members, initiates their Referral for Specialist care, and maintains continuity of patient care.

  • Although You are encouraged to receive care from Your PCD, You do not need a written Referral from Your PCD before receiving Specialist care from a Participating Provider.

Related to Specialist care

  • Specialist means a dentist who has received a specialty

  • Legal Services means services of a legal or financial nature and includes any part of such services, and for the avoidance of doubt, includes (without limitation):-

  • Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

  • 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.

  • Pharmacist services means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy.