Standard Medical Treatment definition

Standard Medical Treatment means the services or supplies that are in general use in the medical community in the United States, and;
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Standard Medical Treatment means the services or supplies that are in general use in the medical community in the United States, and: • have been demonstrated in peer-reviewed literature to have scientifically established medical value for curing or alleviating the condition being treated; • are appropriate for the Hospital or Participating Provider; and • the Health Care Professional has had the appropriate training and experience to provide the treatment or procedure. HMO shall determine whether any treatment, procedure, facility, equipment, drug, device, or supply is Experimental/Investigational, and will consider factors such as the guidelines and practices of Medicare, Medicaid, or other government-financed programs and approval by a federal agency in making its determination. Although a Health Care Professional may have prescribed treatment, and the services or supplies may have been provided as the treatment of last resort, such services or supplies still may be considered to be Experimental/Investigational within this definition. Treatment provided as part of a clinical trial or a research study is Experimental/Investigational.
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Standard Medical Treatment means the services or supplies that are in general use in the medical community in the United States, and: • have been demonstrated in peer- reviewed literature to have scientifically established medical value for curing or alleviating the condition being treated; • are appropriate for the Hospital or Participating Provider; and • the Health Care Professional has had the appropriate training and experience to provide the treatment or procedure. HMO shall determine whether any treatment, procedure, facility, equipment, drug, device, or supply is Experimental/Investigational, and will consider the guidelines and practices of Medicare, Medicaid, or other government- financed programs in making its determination. Although a Health Care Professional may have prescribed treatment, and the services or supplies may have been provided as the treatment of last resort, such services or supplies still may be considered to be Experimental/Investigational within this definition. Treatment provided as part of a clinical trial or a research study is Experimental/Investigational.
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Examples of Standard Medical Treatment in a sentence

  • EXPERIMENTAL/INVESTIGATIONAL.....means the use of any treatment, procedure, facility, equipment, drug, device, or supply not accepted as Standard Medical Treatment of the condition being treated or any of such items requiring Federal or other governmental agency approval not granted at the time services were provided.

  • Standard Medical Treatment means the services or supplies that are in general use in the medical community in the United States, and: (i) have been demonstrated in peer reviewed literature to have scientifically established medical value for curing or alleviating the condition being treated; (ii) are appropriate for the Hospital or facility other provider in which they were performed.

  • EXPERIMENTAL/INVESTIGATIONAL means the use of any treatment, procedure, facility, equipment, drug, device, or supply not accepted as Standard Medical Treatment of the condition being treated or any of such items requiring Federal or other governmental agency approval not granted at the time services were provided.

  • The PPO reserves the right to require Precertification for selected drugs (listed in the Drug Formulary) before providing coverage for such drugs.4.56.23 Smoking Cessation Aids, including but not limited to nicotine replacement drugs (except Chantix™ and Generic Zyban™ (buproban) as described in Section 3.24.4d) of this Certificate are NOT COVERED.4.56.24 Standard Medical Treatment.

  • Cost-Effectiveness of Balloon Kyphoplasty Versus Standard Medical Treatment in Patients With Osteoporotic Vertebral Compression Fracture.

  • EXPERIMENTAL/INVESTIGATIONAL or EXPERIMENTAL/INVESTIGATIONAL SERVICES AND SUPPLIES...means the use of any treatment, procedure, facility, equipment, drug, device, or supply not accepted as Standard Medical Treatment for the condition being treated or, if any of such items required federal or other governmental agency approval, such approval was not granted at the time services were provided.

  • LGVISILPPODF100 9EXPERIMENTAL/INVESTIGATIONAL…..means the use of any treat­ ment, procedure, facility, equipment, drug, device, or supply not accepted as Standard Medical Treatment of the condition being treated or any of suchitems requiring Federal or other governmental agency approval not granted at the time services were provided.

  • EXPERIMENTAL/INVESTIGATIONAL or EXPERIMENTAL/INVESTIGA TIONAL SERVICES AND SUPPLIES.....means the use of any treatment, procedure, facility, equipment, drug, device, or supply not accepted as Standard Medical Treatment for the condition being treated or, if any of such items required federal or other governmental agency approval, such approval was not granted at the time services were provided.

  • Acute basilar artery occlusion: Endovascular Interventions versus Standard Medical Treatment (BEST) Trial—Design and protocol for a randomized, controlled, multicenter study.

  • There was no Standard Medical Treatment Protocol put in place in all the visited hospitals.


More Definitions of Standard Medical Treatment

Standard Medical Treatment means the services or supplies that are in general use in the medical community in the United States, and: • have been demonstrated in peer- reviewed literature to have scientifically established medical value for curing or alleviating the condition being treated; • are appropriate for the Hospital or Participating Provider; and • the Health Care Professional has had the appropriate training and experience to provide the treatment or procedure. HMO shall determine whether any treatment, procedure, facility, equipment, drug, device, or supply is Experimental/Investigational, and will consider the guidelines and practices of Medicare, Medicaid, or other government- financed programs in making its determination. Sample Although a Health Care Professional may have prescribed treatment, and the services or supplies may have been provided as the treatment of last resort, such services or supplies still may be considered to be Experimental/Investigational within this definition. Treatment provided as part of a clinical trial or a research study is Experimental/Investigational. Grace Period means a period of thirty (30) days after all but the first Premium due date, during which period Premiums may be paid to HMO without lapse of coverage occurring. If payment is not received within thirty (30) days, coverage will be terminated after the 30th day and You will be liable for the cost of services received during the Grace Period. Group means the employer or party that has entered into a Group Agreement with HMO under which HMO will provide for or arrange health services for eligible Members of the Group who enroll. Group Open Enrollment Period means those periods of time (at least thirty- one (31) days) established by Group and HMO from time to time, but no less frequently than once in any twelve (12) consecutive months, during which eligible persons who have not previously enrolled with HMO may do so. Health Benefit Plan means a group, blanket, or franchise insurance policy, a certificate issued under a group policy, a group Hospital service contract, or a group subscriber contract or evidence of coverage issued by a health maintenance organization that provides benefits for health care services. Health Care Professional(s) means Physicians, nurses, audiologists, Physician assistants, nurse first assistants, acupuncturists, clinical psychologists, pharmacists, occupational therapists, physical therapists, speech and language pathologists, surgical assistants and oth...
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