Common use of Diabetic Equipment and Supplies Clause in Contracts

Diabetic Equipment and Supplies. In accordance with Rhode Island General Law §27-20-30, this agreement provides coverage for the following medically necessary diabetic equipment and supplies, subject to medical necessity review:  therapeutic/molded shoes for the prevention of amputation are covered for the treatment of diabetes; our allowance for molded shoes includes the initial inserts. Additional medically necessary inserts for custom-molded shoes are covered;  blood glucose monitors, blood glucose monitors for the legally blind, external insulin infusion pumps and appurtenances thereto, insulin infusion devices and injection aids for the treatment of insulin treated diabetes, non-insulin treated diabetes and gestational diabetes; and  test strips for glucose monitors and/or visual reading, cartridges for the legally blind, and infusion sets for external insulin pumps for the treatment of insulin treated diabetes, non-insulin treated diabetes, and gestational diabetes. See the Summary of Medical Benefits for benefit limits and the amount you pay. Covered diabetic equipment and supplies bought at a licensed medical supply provider are subject to the benefit limits and the amount you pay as shown in the Summary of Medical Benefits. Some diabetic equipment and supplies can be bought at a network pharmacy. When bought at a network pharmacy, the covered diabetic equipment and supplies are subject to the benefit limits and the amount you pay as shown in the Summary of Pharmacy Benefits. See Section 3.27 - Prescription Drugs.

Appears in 6 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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Diabetic Equipment and Supplies. In accordance with Rhode Island General Law §27-20-30, this agreement provides coverage for the following medically necessary diabetic equipment and supplies, subject to medical necessity review: therapeutic/molded shoes for the prevention of amputation are covered for the treatment of diabetes; our allowance for molded shoes includes the initial inserts. Additional medically necessary inserts for custom-molded shoes are covered; blood glucose monitors, blood glucose monitors for the legally blind, external insulin infusion pumps and appurtenances thereto, insulin infusion devices and injection aids for the treatment of insulin treated diabetes, non-insulin treated diabetes and gestational diabetes; and test strips for glucose monitors and/or visual reading, cartridges for the legally blind, and infusion sets for external insulin pumps for the treatment of insulin treated diabetes, non-insulin treated diabetes, and gestational diabetes. See the Summary of Medical Benefits for benefit limits and the amount you pay. Covered diabetic equipment and supplies bought at a licensed medical supply provider are subject to the benefit limits and the amount you pay as shown in the Summary of Medical Benefits. Some diabetic equipment and supplies can be bought at a network pharmacy. When bought at a network pharmacy, the covered diabetic equipment and supplies are subject to the benefit limits and the amount you pay as shown in the Summary of Pharmacy Benefits. See Section 3.27 - Prescription Drugs.

Appears in 5 contracts

Samples: Subscriber          Agreement, Subscriber          Agreement, Subscriber          Agreement

Diabetic Equipment and Supplies. In accordance with Rhode Island General Law §27-20-30, this agreement provides coverage for the following medically necessary diabetic equipment and supplies, subject to medical necessity review:  therapeutic/molded shoes for the prevention of amputation are covered for the treatment of diabetes; our allowance for molded shoes includes the initial inserts. Additional medically necessary inserts for custom-molded shoes are covered;  blood glucose monitors, blood glucose monitors for the legally blind, external insulin infusion pumps and appurtenances thereto, insulin infusion devices and injection aids for the treatment of insulin treated diabetes, non-insulin treated diabetes and gestational diabetes; and  test strips for glucose monitors and/or visual reading, cartridges for the legally blind, and infusion sets for external insulin pumps for the treatment of insulin treated diabetes, non-insulin treated diabetes, and gestational diabetes. See the Summary of Medical Benefits for benefit limits and the amount you pay. Covered diabetic equipment and supplies bought at a licensed medical supply provider are subject to the benefit limits and the amount you pay as shown in the Summary of Medical Benefits. Some diabetic equipment and supplies can be bought at a an in-network pharmacy. When bought at a an in-network pharmacy, the covered diabetic equipment and supplies are subject to the benefit limits and the amount you pay as shown in the Summary of Pharmacy Benefits. See Section 3.27 - Prescription Drugs.

Appears in 1 contract

Samples: Subscriber Agreement

Diabetic Equipment and Supplies. In accordance with Rhode Island General Law §27-20-30, this agreement provides coverage for the following medically necessary diabetic equipment and supplies, subject to medical necessity review: therapeutic/molded shoes for the prevention of amputation are covered for the treatment of diabetes; our allowance for molded shoes includes the initial inserts. Additional medically necessary inserts for custom-molded shoes are covered; blood glucose monitors, blood glucose monitors for the legally blind, external insulin infusion pumps and appurtenances thereto, insulin infusion devices and injection aids for the treatment of insulin treated diabetes, non-insulin treated diabetes and gestational diabetes; and test strips for glucose monitors and/or visual reading, cartridges for the legally blind, and infusion sets for external insulin pumps for the treatment of insulin treated diabetes, non-non- insulin treated diabetes, and gestational diabetes. See the Summary of Medical Benefits for benefit limits and the amount you pay. Covered diabetic equipment and supplies bought at a licensed medical supply provider are subject to the benefit limits and the amount you pay as shown in the Summary of Medical Benefits. Some diabetic equipment and supplies can be bought at a network pharmacy. When bought at a network pharmacy, the covered diabetic equipment and supplies are subject to the benefit limits and the amount you pay as shown in the Summary of Pharmacy Benefits. See Section 3.27 - Prescription Drugs.Section

Appears in 1 contract

Samples: Subscriber    Agreement

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Diabetic Equipment and Supplies. In accordance with Rhode Island General Law §27-20-30, this agreement provides coverage for the following medically necessary diabetic equipment and supplies, subject to medical necessity review: therapeutic/molded shoes for the prevention of amputation are covered for the treatment of diabetes; our allowance for molded shoes includes the initial inserts. Additional medically necessary inserts for custom-molded shoes are covered; and • blood glucose monitors, blood glucose monitors for the legally blind, external insulin infusion pumps and appurtenances thereto, insulin infusion devices and injection aids for the treatment of insulin treated diabetes, non-insulin treated diabetes and gestational diabetes; and test strips for glucose monitors and/or visual reading, cartridges for the legally blind, and infusion sets for external insulin pumps for the treatment of insulin treated diabetes, non-insulin treated diabetes, and gestational diabetes. See the Summary of Medical Benefits for benefit limits and the amount you paylevel of coverage. Covered diabetic equipment and supplies bought at a licensed medical supply provider are subject to the benefit limits and the amount you pay as level of coverage shown in the Summary of Medical Benefits. Some diabetic equipment and supplies can be bought at a network pharmacy. When bought at a network pharmacy, the covered diabetic equipment and supplies are subject to the benefit limits and the amount you pay as level of coverage shown in the Summary of Pharmacy Benefits. See Section 3.27 - Prescription Drugs.

Appears in 1 contract

Samples: Subscriber Agreement

Diabetic Equipment and Supplies. In accordance with Rhode Island General Law §27-20-30, this agreement provides coverage for the following medically necessary diabetic equipment and supplies, subject to medical necessity review: therapeutic/molded shoes for the prevention of amputation are covered for the treatment of diabetes; our allowance for molded shoes includes the initial inserts. Additional medically necessary inserts for custom-molded shoes are covered; blood glucose monitors, blood glucose monitors for the legally blind, external insulin infusion pumps and appurtenances thereto, insulin infusion devices and injection aids for the treatment of insulin treated diabetes, non-insulin treated diabetes and gestational diabetes; and test strips for glucose monitors and/or visual reading, cartridges for the legally blind, and infusion sets for external insulin pumps for the treatment of insulin treated diabetes, non-non- insulin treated diabetes, and gestational diabetes. See the Summary of Medical Benefits for benefit limits and the amount you pay. Covered diabetic equipment and supplies bought at a licensed medical supply provider are subject to the benefit limits and the amount you pay as shown in the Summary of Medical Benefits. Some diabetic equipment and supplies can be bought at a network pharmacy. When bought at a network pharmacy, the covered diabetic equipment and supplies are subject to the benefit limits and the amount you pay as shown in the Summary of Pharmacy Benefits. See Section 3.27 3.28 - Prescription Drugs.

Appears in 1 contract

Samples: Subscriber    Agreement

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