Sentences with phrase «medically necessary care»

Out - of - network costs are not included in the determination of a plan's actuarial value, and neither are benefits that don't fall under one of the essential health benefit categories (virtually all medically necessary care is considered an essential health benefit, however)

After you've paid enough in deductibles, copays, and coinsurance to have reached your out - of - pocket maximum each year, your health plan begins to cover 100 % of the cost of your in - network, medically necessary care for the rest of the year.

It covers activities of daily living (ADLs) like bathing and dressing, but only in conjunction with medically necessary care.

Not exact matches

I also don't want to pay for any of your sonograms, or health care involved in you having kids because hey it's not medically necessary for you to have kids either right why should I pay for it?

In fact it was their policy that the midwives took care of the patients unless it was medically necessary for a doctor to step in.

During this time, your care provider should be watching intently, but not interfering, unless it is medically necessary.

The New York Health Act would provide universal health care for all New Yorkers for all medically necessary services with no out - of - pocket expenses (including premiums, copays and deductibles).

We'll have to ensure a solid legal entitlement to medically necessary benefits in state law and ensure adequate financing to pay for lifesaving care and treatment.

whether it is medically necessary for the Postdoctoral Scholar to take leave intermittently or on a reduced work schedule to care for the family member and the probable frequency and duration of the Postdoctoral Scholar's need for leave to provide such care.

All dogs are spayed or neutered and if needed, receive other medically necessary veterinary care (ex: surgery, treatments, etc).

While in our care, dogs are treated as though they are our own, getting all of the necessary attention both from a family as well as medically.

Providence Animal Center is dedicated to their mission of life - affirming care for animals, which means that no animal will be put to sleep unless it is medically necessary.

Veterinary care includes a thorough exam, rabies and distemper (5 way) inoculations (by newest guidelines), parasites check (fecal and heartworm) and neutering if necessary and medically and age appropriate.

People could barely justify medically necessary dental care, much less routine preventative care.

Their policy says «Once You have received Emergency Medical Care and Our consulting Physician determines You are able to and recommends that You return Home, We will arrange and pay for the following services and expenses to return You to Your province or territory of residence:... the cost of air ambulance transportation to the most appropriate facility in Your province or territory of residence, if the use of an air ambulance is required and Medically Necessary.»

The proof of that future loss is sometimes a difficult task and usually involves medical assessment and / or actuarial assessment); d. past care cost (if you have spend money for your medical care that was made medically necessary owing to ICBC motor vehicle accident injury then you can expect to collect a sum of money equivalent to those reasonable treatment and medication costs please ensure that you keep the receipts and seek prior medical approval to eventually prove this loss); e. future care costs (if you will suffer repeated medical expenses in the future owing to your motor vehicle accident ICBC injury claim then you can collect a sum of money equivalent to that future loss); f. out of pocket expenses or «special damages» (if you suffer out of pocket expenses like for travel to / from medical appointments, cab fare, parking, etc, then this is also recoverable by you but again — keep track of these expenses in a log and keep a receipt book for later proof of this loss); g. legal costs (sum of the legal costs associated with advancing your injury claim are recoverable as the court system recognizes that often legal experts, lawyers and their agents are a necessary part of the process); h. other categories of damages: not discussed here are other categories of damages like «in trust claims» made largely for those who relatives who take care of you while you are recovering from your injuries or things like «loss of ability to enter an economically interdependent relationship» which might be awarded to a seriously disfigured potential spouse for his / her unlikely ability to become married in the future.

Medicaid will pay for skilled nursing home care only if it is medically necessary and the person is otherwise qualified and meets the financial eligibility requirements.

To obtain the relevant health information necessary to determine whether an injury or illness should be recorded, or whether an employee must be medically removed from exposure at work, employers must refer employees to health care providers for examination and testing.

Following stabilization, when medically necessary and subject to the administrator's prior approval, the Insurer will pay for a medically supervised return to the Insured Person's permanent residence or, if appropriate, to a health care facility nearer to their permanent residence or for one - way economy airfare to the Insured Person's point of origin, if necessary.

Preventative care like general physical checkups and shots like flu - shots are not medically necessary.

Coverage for medically necessary dental care is provided up to $ 750 if the expense is incurred outside the 150 - mile radius from the insured's permanent residence.

With America reporting some of the highest medical care costs in the world even those with health care are facing a lack of health insurance coverage for home health care or non medically necessary surgical procedures such as cosmetic surgery, some Americans are choosing to seek their medical care elsewhere.

HTH covers care from physician office visits to hospitalization to prescription drugs to medically necessary medical evaluations.

It also won't cover the cost of medically necessary eye care like addressing glaucoma and cataracts — your health insurance covers those issues.

Covered charges include the reasonable and customary cost of medically necessary services and supplies provided for the care and treatment of a Covered Diving Accident when prescribed, performed or ordered by a Physician.

If you become seriously ill or injured on a cruise ship and you need urgent medical care, this insurance provides 24/7 Emergency Accident and Sickness benefits along with Emergency Medical Evacuation and Medically Necessary Repatriation to an appropriate medical facility.

Emergency medical care and medically necessary evacuation coverage is available if the illness occurs during your travels.

Provided written reports to Case Management Coordinator to ensure patients received medically necessary and timely care, and acted as consultant to other committees and task forces, and represented case management to community and surrounding areas.

They are medically trained to manage emergencies of this nature and are expected to provide necessary clinical and life support services so that the patient is ready for transportation to the hospital for better care.

A servicewoman in need of medically necessary abortion would be forced to leave the secure military hospital on which she depends and receives health care.

That means hospitals, health insurance plans, health care providers, and non-medical personnel could refuse to provide, pay for, or even refer for an abortion — even when the abortion is medically necessary to save a woman's life or health.

You should be able to explain to your insurance company why it is medically necessary for your child to see this specific health care provider.