Circumcision Sample Clauses

Circumcision. You are not covered for treatment related to circumcision, unless it is required for treatment of an acute medical condition covered by your plan. Consultations or investigations when you are not physically present You are not covered for consultations or investigations where you are not physically present, without prior agreement from us. This includes, for example, interviews by medical practitioners with other medical practitioners or with family members. Convalescence, rehabilitation, nursing homes, and health spas or hydros You are not covered for: - • hospital accommodation if the reason you are hospitalised is for the purpose of convalescence, rehabilitation or supervision • relaxation or rest treatments, or treatments in nature cure clinics, health spas and health hydros • private beds registered as nursing homes attached to such establishments or a hospital where the hospital has effectively become your home or permanent abode Other than treatment you are eligible for under the rehabilitation treatment benefit. Cosmetic surgery and treatment You are not covered for investigations or treatment related to: - • cosmetic or aesthetic treatment to enhance your appearance, even when medically prescribed • the removal of fat or surplus tissue • breast enlargement or reduction • sclerotherapy for spider veins, treatment of superficial varicose veins • Botox, dermal fillers, or treatment of vitiligo or any skin pigmentation disorder Criminal activity You are not covered for treatment arising from or related to injuries sustained while you are engaged in a criminal, illegal or unlawful act. Dietitian You are not covered for treatment or advice by a dietitian or nutritionist (unless covered under your plan under the dietitian benefit in the cancer treatment section of the table of benefits). Drugs prescribed for out-patient mental health treatment You are not covered for drugs prescribed for out-patient mental health treatment. Experimental drugs and treatments You are not covered for treatment or medicine which in our reasonable opinion is experimental or unproven based on generally accepted current clinical evidence and generally accepted medical practice.
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Circumcision. Circumcision unless necessary for the treatment of a disease or necessitated by an Accident.
Circumcision. You are not covered for treatment related to circumcision, unless it is required for treatment of an acute medical condition covered by your plan. Convalescence, rehabilitation, nursing homes, and health spas/hydros You are not covered for: • hospital accommodation if the reason you are hospitalised is for the purpose of convalescence, rehabilitation or supervision • relaxation or rest treatments, or treatments in nature cure clinics, health spas and health hydros • private beds registered as nursing homes attached to such establishments or a hospital where the hospital has effectively become your home or permanent abode Other than treatment you are eligible for under the rehabilitation treatment benefit. Cosmetic surgery and treatment You are not covered for investigations or treatment related to: • cosmetic or aesthetic treatment to enhance your appearance, even when medically prescribed • the removal of fat or surplus tissue • breast enlargement or reduction • sclerotherapy for spider veins, treatment of superficial varicose veins • Botox, dermal fillers, or treatment of vitiligo or any skin pigmentation disorder Criminal activity You are not covered for treatment arising from or related to injuries sustained while you are engaged in a criminal, illegal or unlawful act. Dietitian You are not covered for treatment or advice by a dietitian or nutritionist. Please note however this may be covered following a diagnosis of cancer. Please see the dietitian benefit within the cancer treatment section of the table of benefits. Experimental drugs and treatments You are not covered for treatment which is experimental, or has not been proven to be effective. This includes, but is not limited to: • treatment that is provided as part of a clinical trial • treatment that is not consistent with internationally recognised guidelines. Internationally recognised guidelines means guidelines issued by the Dubai Health Authority, the United Arab Emirates Ministry of Health, the US Federal Drugs Administration, the European Medicines Agency or the UK National Institute for Health and Clinical Excellence (NICE) in the UK Eyesight You are not covered for: • treatment to correct your eyesight, such as laser treatment, refractive keratotomy and photorefractive keratotomy • spectacles, and other visual aids, treatment of strabismus (squint) or amblyopia (lazy eye) • sight tests - please note however these may be covered under the well-being benefits section of the table of benefi...
Circumcision. Is covered. For purposes of this benefit a newborn/infant is defined as any child being 3 months of age or younger. Outpatient or inpatient costs will apply for circumcisions for anyone older than 3 months. Clinical trial – The plan covers the costs of the care of members who are qualified individuals, and who are enrolled in and participating in an approved clinical trial, and and will not exclude, limit or impose additional conditions on the coverage of such routine costs. The experimental portion of clinical trials are typically not covered. The coverage is subject to other provisions of the plan, including copayments, deductibles and coinsurance. However, services that are normally covered under the plan will be covered under the applicable benefit and in accordance to the provisions outlined by the services billed by the provider and will follow all provisions of this plan. A “qualified individual” is someone who is eligible to participate in an approved clinical trial and either the individual’s doctor has concluded that the participation is appropriate or scientific information established that their participation is appropriate.
Circumcision. Circumcision, except where medically necessary for non- prophylactic reasons, or as a New-born benefit.
Circumcision. Unless it is required for treatment of an acute medical condition covered by your plan. Convalescence, rehabilitation, nursing homes and health spas/hydros • hospital accommodation if the reason you are hospitalised is for the purpose of convalescence, rehabilitation or supervision • relaxation or rest treatments, or treatments in nature cure clinics, health spas and health hydros • private beds registered as nursing homes attached to such establishments or a hospital where the hospital has effectively become your home or permanent abode Please note however that some/all of the above may be covered under the ‘Rehabilitation treatment’ benefit. Cosmetic surgery and treatment Investigations or treatment related to: • cosmetic or aesthetic treatment to enhance your appearance, even when medically prescribed • the removal of fat or surplus tissue • breast enlargement or reduction • sclerotherapy for spider veins, treatment of superficial varicose veins • Botox, dermal fillers, or treatment of vitiligo or any skin pigmentation disorder Criminal activity Treatment arising from or related to injuries sustained while you are engaged in a criminal, illegal or unlawful act. Development, learning difficulties, speech disorders and behavioural problems Consultations, tests required to diagnose, or treatment of or related to: • developmental delays • learning and education difficulties, including, but not limited to, dyslexia and speech disorders • behavioural problems, including, but not limited to, Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD) and Tourette’s syndrome • physical development of any kind • teething Please note however that tests for some of the above may be covered under the ‘Well-being benefits’ section.
Circumcision. You are not covered for treatment related to circumcision, unless it is required for treatment of an acute medical condition covered by your plan. Complementary medicine You are not covered for consultations or treatment performed by a chiropractor, osteopath, homeopath acupuncturist, a therapist using acupressure or traditional Chinese medical practitioners. Convalescence, rehabilitation, nursing homes, and health spas or hydros You are not covered for: • hospital accommodation if the reason you are hospitalised is for the purpose of convalescence, rehabilitation or supervision • relaxation or rest treatments, or treatments in nature cure clinics, health spas and health hydros • private beds registered as nursing homes attached to such establishments or a hospital where the hospital has effectively become your home or permanent abode Cosmetic surgery and treatment You are not covered for investigations or treatment related to: • cosmetic or aesthetic treatment to enhance your appearance, even when medically prescribed • the removal of fat or surplus tissue • breast enlargement or reduction • sclerotherapy for spider veins, treatment of superficial varicose veins • Botox , dermal fillers, or treatment of vitiligo or any skin pigmentation disorder Criminal activity You are not covered for treatment arising from or related to injuries sustained while you are engaged in a criminal, illegal or unlawful act. Dental treatment You are not covered for dental, gum, oral or orthodontic consultations or treatment of any kind, unless covered under the in-patient emergency restorative dental treatment benefit.
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Circumcision. N32.1 Biopsy of lesion of penis T91.1 Biopsy of sentinel lymph node T85.5 Block dissection of inguinal lymph nodes T85.6 Block dissection of Pelvic nodes
Circumcision. 21. Nutritional counseling provided by MHCN staff. 22. Sterilization procedures.
Circumcision. 173 6.5.1 Drugs covered under the Medicare Prescription Drug Program 173 6.5.2 Experimental or Investigative Services 173 6.5.3 Services Provided at Federal Institutions 173 6.5.4 State and Other Institutions 174 6.5.5 Fertility Drugs and Procedures 174 6.5.6 Incidental Services 174 6.5.7 Certain Mental Health Services 174 6.5.8 HIV Case Management Services 174 6.5.9 Nursing Facility Per Diem Services 174 6.5.10 Out of Country Care 174 6.5.11 Additional Exclusions 174 6.6 Enrollee Liability and Limitations 174 6.6.1 Medical Assistance Cost-sharing 174 6.6.2 Limitation. 174 6.7 Penalty for Illegal Remuneration. 175
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