Specialty care means advanced medically necessary care and treatment of specific physical, mental, or behavioral health conditions, or those health conditions which may manifest in particular ages or subpopulations, that are provided by a specialist, preferably in coordination with a primary care professional or other health care professional.

Specialty care means advanced medically necessary care and treatment of specific

Specialty care means advanced, medically necessary care and treatment by a specialist, preferably in coordination with a primary care practitioner or other health care professional, of specific physical or behavioral health conditions or health conditions that may manifest in a particular age group or other subpopulation.

Examples of Specialty care in a sentence

Specialty care from a network provider in your selected Provider System does not require a referral.o Referrals from your PCP are not required for emergency care or urgently needed services.• You must receive your care from a network provider (for more information about this, see Section 2 in this chapter).
Specialty care will be Covered, less any applicable Copayment, when such specialty services are provided in accordance with the specialty referral process described below.All Specialty Referral Services Must Be: (A) Pre-Authorized by us; and (B) Coordinated by a Covered Person's Participating Dentist.
All Specialty care must be pre-approved for coverage determination, medical necessity and/or appropriateness to the presenting conditions.
Phone numbers for Member Services are printed on the back cover of this booklet.)• Specialty care from network specialists in your Provider System.
Specialty care is outlined in full detail in the customer Certificate of Coverage.

More Definitions of Specialty care

Specialty care means any service provided that is not provided by a PCP. State means the Commonwealth of Kentucky.

Specialty care means advanced medically necessary care and treatment of specific physical, mental or behavioral health conditions, or those conditions that may manifest in particular ages or subpopulations, that are provided by a specialist in coordination with a health care provider; and

Specialty care means medical services not delivered by primary care providers.

Specialty care means care not included in primary

Specialty care means care or a service that is provided by a provider who is not:

Specialty care means care provided by a health care provider with

Specialty care means health care services provided by a specialist.