Medically Necessary
To effectively deliver medically necessary health care to inmates.
... If a diagnosis of GID is reached, a proposed treatment plan will be developed which promotes the physical and mental stability of the patient. The development of the treatment plan is not solely dependent on services ...
58
Cigna covers glecaprevir/pibrentasvir (Mavyret ) tablets as medically necessary when the following criteria are met:
... c) Individual has completed a course of therapy with Epclusa (brand or generic), Harvoni (brand or generic), or Zepatier and has documentation that they did not achieve a sustained vir[r] ...
6
The use of botulinum toxin is considered medically necessary for the FDA-labeled indications of:
... trials validated the efficacy of botulinum toxin in treating achalasia, until recently there was no randomized trial comparing botulinum toxin with pneumatic dilation (perhaps consider[r] ...
9
Discectomy. Cervical discectomy is considered not medically necessary for the treatment of cervical herniated disc
... surgery as necessary. (10) Patients were eligible if they were 18 to 65 years-old, had severe sciatica for between 6 and 12 weeks, and had radiologically confirmed disc herniation. A total of 283 patients were ...
12
ISO Med. Health insurance plans for international students. Student Health Insurance. United States Fire insurance Company
... When a covered Injury or Sickness requires treatment by a Physician, the policy will provide benefits for the Reasonable and Customary Charges for Medically Necessary Covered Medical Expenses, which exceed ...
12
ACCIDENT & SICKNESS INSURANCE PLANS FOR INTERNATIONAL STUDENTS AT SYRACUSE UNIVERSITY
... is medically necessary to treat an unforeseen sickness or injury which is acute or life threatening and adequate medical treatment is not available in the immediate area, the transportation expense incurred ...
14
For international students attending South Dakota System. (800)
... for medically necessary covered medical expenses, which exceed the deductible per person for each injury or ...for medically necessary services and ...
13
Florida State University Center for Global Engagement J1 program. ISO Med Accident & Sickness Insurance. Designed specially for
... When a covered Injury or Sickness requires treatment by a Physician, the coverage will provide benefits for the Reasonable and Customary Charges for Medically Necessary Covered Medical Expenses, which ...
10
SAMPLE. Georgia Out-Of-Area Preferred Provider Organization for Small Group (Non-grandfathered Coverage) Certificate of Insurance
... to such admission charges for Friday through Sunday, inclusive. 4) Confinement, treatment, services or supplies not Medically Necessary. This exclusion does not apply to preventive or [r] ...
81
Student Health Insurance Plan
... Hospice Care: When, by reason of Injury or Sickness, an Insured Person requires Hospice care, We will pay the covered percentage of t he Covered Medical Expense incurred by t he Hospice for palliative and supportive care ...
19
F1/J1 Visa holders Scholars ESL students OPT Students. (800)
... When a covered Injury or Sickness requires treatment by a Physician, the coverage will provide benefits for the Reasonable and Customary Charges for Medically Necessary Covered Medical Expenses, which ...
12
Nursing Services Protocol Checklist
... If YES approve the amount of Nursing Services requested. Such approval may specify that concurrent review will be conducted after a specified period of time (see attached guidelines) to ensure that Nursing Services ...
6
PART II POLICIES AND PROCEDURES FOR DURABLE MEDICAL EQUIPMENT SERVICES GEORGIA DEPARTMENT OF COMMUNITY HEALTH
... Medically necessary, medical necessity, reasonable and necessary, or medically necessary and appropriate means medical services or equipment based upon generally accepted medical ...
151
Prior Authorization Review Panel. Q1 2021: policy revised according to DHS revisions effective 01/05/2021
... NOTE: If the beneficiary does not meet the clinical review guidelines above but, in the professional judgement of the physician reviewer, the services are medically necessary to meet the medical needs of ...
5
PROVIDER ADMINISTRATION MANUAL
... Medically Necessary services that are required to evaluate, treat, and stabilize a patient’s emergency condition. A condition defined by a “prudent layperson”, who possesses an average knowledge of health ...
402
Cenpatico STRS POLICIES & PROCEDURES. Effective Date: 07/11/11 Review/Revision Date: 07/11/11, 09/21/11
... as medically necessary as defined by age equivalent/chronological age; however, such a score may not be used as the sole criteria for determining a Member’s eligibility for initial or continuing treatment ...
14
Our Purpose... AWA Scheduled Benefit Health Plan
... for Medically necessary cosmetic surgery performed under the following circumstances: (i) where such cosmetic surgery is incidental to or following surgery resulting from trauma or infection to correct a ...
19
Short Term Medical Plan
... NECESSITY/MEDICALLY NECESSARY means those services or supplies provided or prescribed by a Hospital or Physician which are: 1) Essential for the symptoms and diagnosis or treatment of the Sickness or ...
10
International Student Protection
... for Medically Necessary Covered Medical Expenses, which exceed the deductible per person for each Injury or ...for medically necessary services and supplies incurred within 52 weeks from the ...
10
Assisted Reproductive Technologies
... While certain benefit programs provide coverage for infertility services, they may exclude coverage of fees associated with oocyte donation (i.e., [as pertains to donors], recruitment, selection, ovarian stimulation, ...
11