Coverage Services Sample Clauses

Coverage Services. Group shall cause one or more Group Practitioners in the Specialty to be available on an on-call basis to provide Specialty medical care and treatment to ED Patients, and consults for in-hospital patients, including intensive care unit (“ICU”) patients (“Coverage Services”), upon the terms and subject to the conditions set forth in this Agreement.
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Coverage Services. The Physician will provide the Coverage Services as more fully set forth in Exhibit A in accordance with the service standards set forth there, which is incorporated into this Agreement.
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Coverage Services. Physician will provide the following services (the “Coverage Services”) for adult patients (patients 18 years or age or older):
Sample 1
Coverage Services. Practitioner shall be available on an on-call basis to provide Specialty medical care and treatment to ED Patients and consults for in-hospital patients, including intensive care unit (“ICU”) patients (“Coverage Services”), upon the terms and subject to the conditions set forth in this Agreement.
Sample 1
Coverage Services. For Medicare Parts A and B beneficiaries, the following factors will be considered to determine the Coverage to be offered: ● Beneficiaries eligible to Part A: ü They will be offered the regular MI Salud coverage, excluding the benefits covered by Part A until they reach their limit. In other words, once you reach the benefit limit of Medicare Part A coverage, Mi Salud will be activated. ü Part A deductibles are not included. ü The payment of deductibles for the regular coverage will be according to the payment capacity table provided to all Mi Salud beneficiaries. ● Beneficiaries eligible to Parts A/B: ü They are offered the regular Mi Salud pharmacy and dental coverage. ü Part A deductibles are not included. ü Part B Deductibles and copayments will be included. DISEASE MANAGEMENT AND SPECIAL CONDITION REGISTRY Chronic Disease Management Triple S Salud has programs that will help you control your chronic diseases, such as Diabetes Mellitus, Hypertension, and Congestive Heart Failure (CHF). Obesity, Kidney Failure and Bronchial Asthma. To benefit from these programs you may call at 0-000-000-0000. Triple S has a nursing and nutritionist staff available to manage your condition in coordination with the primary care physician. Case Management Triple S Salud has a Case Management Program, which is designed to help you with the coordination of medically necessary services for high cost conditions or catastrophic diseases. This program has a staff of nurses, social workers and nutritionists to assist you. You physician, the hospital staff, your family or you may seek help through this program by calling at (000)000-0000. Special Condition Registry Your primary care physician, the personnel designated by the Primary Medical Group or the case coordinator of the Primary Medical Group can instruct you on the conditions that qualify for the special coverage. Any of them can help you to be included in the Special Coverage by sending all the necessary information on your medical condition to Triple-S Salud to the fax number (000) 000-0000. THESE ARE YOUR COPAYMENTS AND COINSURANCES CO-PAYS & CO-INSURANCE - Effective on November 1st, 2011 Services Federal CHIPS Población Estatal ELA* 100 110 230 300 310 320 330 400 HOSPITAL HOSPITAL HOSPITAL HOSPITAL HOSPITAL Admissions $0 $3 $0 $3 $5 $6 $20 $50 Nursery $0 $0 $0 $0 $0 $0 $0 $0 EMERGENCY ROOM (ER) EMERGENCY ROOM (ER) EMERGENCY ROOM (ER) EMERGENCY ROOM (ER) EMERGENCY ROOM (ER) Emergency Room (ER) Visit $0 $0 $0 $1 $5 $10...
Sample 1

Related to Coverage Services

  • Brokerage Services The following additional tasks will be performed by Xxxxxx: 194 195 196

  • Special Services Should the Trust have occasion to request the Adviser to perform services not herein contemplated or to request the Adviser to arrange for the services of others, the Adviser will act for the Trust on behalf of the Fund upon request to the best of its ability, with compensation for the Adviser's services to be agreed upon with respect to each such occasion as it arises.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Financial Services The aim of cooperation shall be to achieve closer common rules and standards in areas including the following:

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Data Services In lieu of any other rates or discounts, the Customer will receive a discount of 20% for the following Data Services: Access: Standard VBS2 Guide local loop charges for DS1 and DS-3 Access Service.

  • Education services 1.1 Catholic education is intrinsic to the mission of the Church. It is one means by which the Church fulfils its role in assisting people to discover and embrace the fullness of life in Xxxxxx. Catholic schools offer a broad, comprehensive curriculum imbued with an authentic Catholic understanding of Xxxxxx and his teaching, as well as a lived appreciation of membership of the Catholic Church. Melbourne Archdiocese Catholic Schools Ltd (MACS) governs the operation of MACS schools and owns, governs and operates the School.

  • Ambulance Services Ground Ambulance This plan covers local professional or municipal ground ambulance services when it is medically necessary to use these services, rather than any other form of transportation as required under R.I. General Law § 27-20-55. Examples include but are not limited to the following: • from a hospital to a home, a skilled nursing facility, or a rehabilitation facility after being discharged as an inpatient; • to the closest available hospital emergency room in an emergency situation; or • from a physician’s office to an emergency room. Our allowance for ground ambulance includes the services rendered by an emergency medical technician or paramedic, as well as any drugs, supplies and cardiac monitoring provided. Air and Water Ambulance This plan covers air and water ambulance services when: • the time needed to move a patient by land, or the instability of transportation by land, may threaten a patient’s condition or survival; or • if the proper equipment needed to treat the patient is not available from a ground ambulance. The patient must be transported to the nearest facility where the required services can be performed and the type of physician needed to treat the patient’s condition is available. Our allowance for the air or water ambulance includes the services rendered by an emergency medical technician or paramedic, as well as any drugs, supplies and cardiac monitoring provided.

  • Beta Services From time to time, We may invite You to try Beta Services at no charge. You may accept or decline any such trial in Your sole discretion. Beta Services will be clearly designated as beta, pilot, limited release, developer preview, non-production, evaluation or by a description of similar import. Beta Services are for evaluation purposes and not for production use, are not considered “Services” under this Agreement, are not supported, and may be subject to additional terms. Unless otherwise stated, any Beta Services trial period will expire upon the earlier of one year from the trial start date or the date that a version of the Beta Services becomes generally available. We may discontinue Beta Services at any time in Our sole discretion and may never make them generally available. We will have no liability for any harm or damage arising out of or in connection with a Beta Service.

  • Business Services A. Professional Services

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