Transplant Facility definition
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with the CO-OP to provide Covered Services related to a Covered Transplant Procedure as defined in this EOC. Non-Plan Hospitals do not have agreements with the CO-OP to provide such services.
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with SHL to provide Covered Services related to a Covered Transplant Procedure as defined in this Certificate. Non-Plan Hospitals do not have agreements with SHL to provide such services.
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with HPN to provide Covered Services related to a Covered Transplant Procedure as defined in this EOC. Non-Plan Hospitals do not have agreements with HPN to provide such services.
Examples of Transplant Facility in a sentence
Failure to obtain prior written authorization and/or failure to have the procedure performed at a con- tracting Special Transplant Facility will result in denial of claims for this Benefit.
HPN will provide a written Referral for care to a Transplant Facility.
HPN makes no representation or warranty as to the medical competence or ability of any Transplant Facility or its respective staff or Physicians.
HPN shall have no liability or responsibility, either direct, indirect, vicarious or otherwise, in the event a transplant patient is injured or dies, by whatever cause, while enroute to a Transplant Facility.
Also, all Services must be provided at a Special Transplant Facility designated by Blue Shield.
More Definitions of Transplant Facility
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with HPN to provide Covered Services to Eligible Members in connection with organ or tissue transplants related to a Covered Transplant Procedure as defined in this AOC. Non-Plan Hospitals do not have any contractual relationship with HPN to provide such services.
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with SHL to provide Covered Services related to a Covered Transplant Procedure as defined in this Certificate. Non-Plan Hospitals do not have agreements with SHL to provide such services. ❖ “Unproven” in the context of “Experimental, Investigational or Unproven” means services, including medications and devices, regardless of U.S. Food and Drug Administration (FDA) approval, that are not determined to be effective for treatment of the medical condition or not determined to have a beneficial effect on health outcomes due to insufficient and inadequate clinical evidence well-conducted randomized controlled trials or cohort studies in the prevailing published peer- reviewed medical literature. • Well-conducted randomized controlled trials. (Two or more treatments are compared to each other, and the patient is not allowed to choose which treatment is received.) • Well-conducted cohort studies from more than one institution. (Patients who receive study treatment are compared to a group of patients who receive standard therapy. The comparison group must be nearly identical to the study treatment group.) SHL has a process by which we compile and review clinical evidence with respect to certain health care services. From time to time, SHL will issue medical and drug policies that describe the clinical evidence available with respect to specific health care services. These medical and drug policies are subject to change without prior notice. The Insured can view these policies at ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Provider/Medical-Policies NOTE: If the Insured has a life-threatening illness or condition (one that is likely to cause death within one year of the request for treatment) SHL may, as we determine, consider an otherwise Unproven service to be a covered healthcare service for that illness or condition. Prior to such a consideration, SHL must first establish that there is sufficient evidence to conclude that, even though Unproven, the service has significant potential as an effective treatment for that illness or condition.
Transplant Facility means a Hospital that has an
Transplant Facility means an COE (Center of Excellence) or EPO (Exclusive Provider Organization) network of credentialed and volume monitored transplant professionals and facilities that has an independent contractor agreement or other contractual relationship with the CO-OP to provide Covered Services related to a Covered Transplant Procedure as defined in this EOC.
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with SHL to provide Covered Services related to a Covered Transplant Procedure as defined in this AOC. Non-Plan Hospitals do not have agreements with SHL to provide such services. “Unproven” in the context of “Experimental, Investigational or Unproven”, means services, including medications, that are not determined to be effective for treatment of the medical condition or not determined to have a beneficial effect on health outcomes due to insufficient and inadequate clinical evidence from well-conducted randomized controlled trials or cohort studies in the prevailing published peer-reviewed medical literature. Well-conducted randomized controlled trials. (Two or more treatments are compared to each other, and the patient is not allowed to choose which treatment is received.) Well-conducted cohort studies from more than one institution. (Patients who receive study treatment are compared to a group of patients who receive standard therapy. The comparison group must be nearly identical to the study treatment group.) SHL has a process by which we compile and review clinical evidence with respect to certain health care services. From time to time, SHL will issue medical and drug policies that describe the clinical evidence available with respect to specific health care services. These medical and drug policies are subject to change without prior notice. The Insured can view these policies at ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Provider/Medical-Policies NOTE: If the Insured has a life-threatening illness or condition (one that is likely to cause death within one year of the request for treatment) SHL may, as we determine, consider an otherwise unproven service to be a covered healthcare service for that illness or condition. Prior to such a consideration, SHL must first establish that there is sufficient evidence to conclude that, even though Unproven, the service has significant potential as an effective treatment for that illness or condition.
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with HPN to provide Covered Services to Eligible Members in connection with organ or tissue transplants related to a Covered Transplant Procedure as defined in this AOC. Non-Plan Hospitals do not have any contractual relationship with HPN to provide such services. “Unproven” in the context of “Experimental, Investigational or Unproven”, means services, including medications, that are not determined to be effective for treatment of the medical condition or not determined to have a beneficial effect on health outcomes due to insufficient and inadequate clinical evidence from well-conducted randomized controlled trials or cohort studies in the prevailing published peer-reviewed medical literature. Well-conducted randomized controlled trials. (Two or more treatments are compared to each other, and the patient is not allowed to choose which treatment is received.) Well-conducted cohort studies from more than one institution. (Patients who receive study treatment are compared to a group of patients who receive standard therapy. The comparison group must be nearly identical to the study treatment group.)
Transplant Facility means a Hospital that has an independent contractor agreement or other contractual relationship with SHL to provide Covered Services related to a Covered Transplant Procedure as defined in this AOC. Non-Plan Hospitals do not have agreements with SHL to provide such services. “Unproven” in the context of “Experimental, Investigational or Unproven”, means services, including medications, that are not determined to be effective for treatment of the medical condition or not determined to have a beneficial effect on health outcomes due to insufficient and inadequate clinical evidence from well-conducted randomized controlled trials or cohort studies in the prevailing published peer-reviewed medical literature. Well-conducted randomized controlled trials. (Two or more treatments are compared to each other, and the patient is not allowed to choose which treatment is received.) Well-conducted cohort studies from more than one institution. (Patients who receive study treatment are compared to a group of patients who receive standard therapy. The comparison group must be nearly identical to the study treatment group.) SHL has a process by which we compile and review clinical evidence with respect to certain health care services. From time to time, SHL will issue medical and drug policies that describe the clinical evidence available with respect to specific health care services. These medical and drug policies are subject to change without prior notice. The Insured can view these policies at ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/Provider/Medical-Policies NOTE: If the Insured has a life-threatening illness or condition (one that is likely to cause death within one year of the request for treatment) SHL may, as we determine, consider an otherwise unproven service to be a covered healthcare service for that illness or condition. Prior to such a consideration, SHL must first establish that there is sufficient evidence to conclude that, even though Unproven, the service has significant potential as an effective treatment for that illness or condition.