Continuing Care. If questions arise about the medical necessity of continued care for treatment or services, the Plan can ask the attending physician to provide evidence supporting the need for this care. The Plan can discontinue payment of benefits if the medical information from your physician does not clearly indicate that continued care for treatment or services is medically necessary.
Appears in 2 contracts
Sources: Group Certificate of Medical, Surgical, Pharmacy and Hospital Insurance, Group Certificate of Medical, Surgical, Pharmacy and Hospital Insurance