Urgent Care Services definition
Urgent Care Services means health services that are medically appropriate and immediately required to prevent serious deterioration of a client’s health that are a result of unforeseen illness or injury.
Urgent Care Services means those health care services that are appropriately provided for an unforeseen condition of a kind that usually requires medical attention without delay but that does not pose a threat to the life, limb, or permanent health of the injured or ill person, and may include such health care services provided out of the health insuring corporation's approved service area pursuant to indemnity payments or service agreements.
Urgent Care Services means a medical care or other service for a condition where application of the timeframe for making routine or non-life threatening care determinations is either of the following:
Examples of Urgent Care Services in a sentence
Benefits provided for Urgent Care Services are outlined in the Summary of Benefits and Coverage.
Within five business days of receiving an appeal (or 24 hours for appeals involving an Urgent Care Services Claim), Alliant will contact You (or Your Authorized Representative) in writing or by telephone to inform You of any failure to follow Alliant’s internal appeal procedures.
Urgent Care Services: Services required as the result of a sudden illness or injury, which require prompt attention, but are not of an emergent nature.
Concurrent Services Authorization Within 24 hours of request for services involving Urgent Care Services.
Timeframe for Decision Urgent Care Services Authorization As soon as possible, but no more than 72 hours after receipt of the request for service.
More Definitions of Urgent Care Services
Urgent Care Services are those Covered Services (other than Emergency Services) which are Medically Necessary to prevent serious deterioration of a Member’s health, alleviate severe pain, or treat an illness or injury with respect to which treatment can not reasonably be delayed. For Blue Shield 65 Plus Members, Urgent Care Services, at a minimum, include all services which are defined by Center for Medicare and Medicaid Services (CMS) as “Urgently Needed Services”.
Urgent Care Services means initial care for a sudden and unforeseen illness or injury when the member is TEMPORARILY away from the Hawaii service area, which is required to prevent serious deterioration of the member's health and which cannot be delayed until the member is medically able to safely return to the Hawaii service area or travel to a Kaiser Permanente facility in another Health Plan Region. Continuing or follow-up treatment at a non-Kaiser Permanente facility is not covered.
Urgent Care Services has the meaning provided for in OAR 410-120-0000.
Urgent Care Services means health care services, other than Emergency Care, which are typically provided in settings such as a physician or provider’s office or urgent care center, as a result of an acute injury or illness that is severe or painful enough to lead a prudent layperson, possessing an average knowledge of medicine and health, to believe that his or her condition, illness or injury is of such a nature that failure to obtain treatment within a reasonable period of time would result in serious deterioration of the condition of his or her health.
Urgent Care Services means a medical care or other service for a condition where application of the timeframe for making routine or non-life threatening care determinations is either of the following:
(a) Could seriously jeopardize the life, health, or safety of the patient or others due to the patient's psychological state;
(b) In the opinion of a practitioner with knowledge of the patient's medical or behavioral condition, would subject the patient to adverse health consequences without the care or treatment that is the subject of the request.
Urgent Care Services means medically necessary services for a condition that requires prompt medical attention but is not an Emergency Medical Condition. Continuing or follow-up treatment at a non-▇▇▇▇▇▇ Permanente facility is not covered. SAMPLE ▇▇▇▇▇▇ Permanente has the right to recover the cost of care for a member's injury or illness caused by another person or in an auto accident from a judgment, settlement, or other payment paid to the member by an insurance company, individual or other third party. ▇▇▇▇▇▇ Permanente has the right to recover the cost of care for Surrogacy Health Services. Surrogacy Health Services are Services the member receives related to conception, pregnancy, or delivery in connection with a Surrogacy Arrangement. The member must reimburse ▇▇▇▇▇▇ Permanente for the costs of Surrogacy Health Services, out of the compensation the member or the member’s payee are entitled to receive under the Surrogacy Arrangement. Benefits You pay Drug Rider3/10/45/200 For each prescription, when the quantity does not exceed: • a 30–consecutive-day supply of a prescribed drug, or • an amount as determined by the formulary. $3 per prescription for generic maintenance drugs; $10 per prescription for all other generic drugs, $45 for brand-name drugs, $200 for specialty drugs Self-administered drugs are covered only when all of the following criteria are met: • prescribed by a ▇▇▇▇▇▇ Permanente physician/licensed prescriber, or a prescriber we designate, • on the Health Plan formulary. Senior Advantage members with Medicare Part D are entitled to drugs on the Health Plan formulary and ▇▇▇▇▇▇ Permanente Hawaii Medicare Drug Formulary. Drugs must be used in accordance with formulary guidelines or restrictions, • the drug is one for which a prescription is required by law, • obtained at pharmacies in the Service Area that are operated by Kaiser Foundation Hospital or ▇▇▇▇▇▇ Foundation Health Plan, Inc., or pharmacies we designate, and • drug does not require administration by nor observation by medical personnel. Insulin $3 per prescription for generic maintenance drugs; $10 per prescription for all other generic drugs, $45 for brand-name drugs, $200 for specialty drugs Diabetes supplies are described in the prescribed drugs section Exclusions: • Drugs for which a prescription is not required by law (e.g. over-the-counter drugs) including condoms, contraceptive foams and creams or other non-prescription substances used individually or in conjunction with any other prescribed ...
Urgent Care Services means health care items