Common use of Durable Medical Equipment Clause in Contracts

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to:  Braces;  Canes;  Crutches;  Intermittent positive pressure breathing machine;  Hospital beds;  Standard outpatient oxygen delivery systems;  Traction equipment;  Walkers;  Wheelchairs; or  Any other items that are determined to be Medically Necessary by HPN’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the Member’s physical condition. HPN will not be responsible for the following:  Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the Member;  Accessories for portability or travel;  A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  Home and car remodeling; and  Replacement of lost or stolen equipment.

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to:  • Braces;  • Canes;  • Crutches;  • Intermittent positive pressure breathing machine;  • Hospital beds;  • Standard outpatient oxygen delivery systems;  • Traction equipment;  • Walkers;  • Wheelchairs; or  • Any other items that are determined to be Medically Necessary by HPN’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the Member’s physical condition. HPN will not be responsible for the following:  • Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the Member;  • Accessories for portability or travel;  • A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  • Home and car remodeling; and  • Replacement of lost or stolen equipment.

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to:  Braces;  Canes;  Crutches;  Intermittent positive pressure breathing machine;  Hospital beds;  Standard outpatient oxygen delivery systems;  Traction equipment;  Walkers;  Wheelchairs; or  Any other items that are determined to be Medically Necessary by HPNSHL’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the MemberInsured’s physical condition. HPN SHL will not be responsible for the following:  Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the MemberInsured;  Accessories for portability or travel;  A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  Home and car remodeling; and  Replacement of lost or stolen equipment.

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to:  • Braces;  • Canes;  • Crutches;  • Intermittent positive pressure breathing machine;  • Hospital beds;  • Standard outpatient oxygen delivery systems;  • Traction equipment;  • Walkers;  • Wheelchairs; or  • Any other items that are determined to be Medically Necessary by HPNSHL’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the MemberInsured’s physical condition. HPN SHL will not be responsible for the following:  • Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the MemberInsured;  • Accessories for portability or travel;  • A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  • Home and car remodeling; and  • Replacement of lost or stolen equipment.

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to:  Braces;  Canes;  Crutches;  Intermittent positive pressure breathing machine;  Hospital beds;  Standard outpatient oxygen delivery systems;  Traction equipment;  Walkers;  Wheelchairs; or  Any other items that are determined to be Medically Necessary by HPNSHL’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the MemberInsured’s physical condition. HPN SHL will not be responsible for the following:  Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the MemberInsured;  Accessories for portability or travel; Agreement of Coverage  A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  Home and car remodeling; and  Replacement of lost or stolen equipment.

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to:  Braces;  Canes;  Crutches;  Intermittent positive pressure breathing machine;  Hospital beds;  Standard outpatient oxygen delivery systems;  Traction equipment;  Walkers;  Wheelchairs; or  Any other items that are determined to be Medically Necessary by HPNSHL’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the MemberInsured’s physical condition. HPN SHL will not be responsible for the following: Agreement of Coverage  Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the MemberInsured;  Accessories for portability or travel;  A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  Home and car remodeling; and  Replacement of lost or stolen equipment.

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to: Agreement of Coverage  Braces;  Canes;  Crutches;  Intermittent positive pressure breathing machine;  Hospital beds;  Standard outpatient oxygen delivery systems;  Traction equipment;  Walkers;  Wheelchairs; or  Any other items that are determined to be Medically Necessary by HPN’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the Member’s physical condition. HPN will not be responsible for the following:  Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the Member;  Accessories for portability or travel;  A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  Home and car remodeling; and  Replacement of lost or stolen equipment.

Durable Medical Equipment. All benefits for Durable Medical Equipment (“DME”) includes administration, maintenance and operating costs of such equipment, if the equipment is Medically Necessary or Prior Authorized. DME includes, but is not limited to:  Braces;  Canes;  Crutches;  Intermittent positive pressure breathing machine;  Hospital beds;  Standard outpatient oxygen delivery systems;  Traction equipment;  Walkers;  Wheelchairs; or  Any other items that are determined to be Medically Necessary by HPN’s Managed Care Program. Replacements, repairs and adjustments to DME are limited to normal wear and tear or because of significant change in the Member’s physical condition. HPN will not be responsible for the following: Agreement of Coverage  Non-Medically Necessary optional attachments and modifications to DME for the comfort or convenience of the Member;  Accessories for portability or travel;  A second piece of equipment with or without additional accessories that is for the same or similar medical purpose as existing equipment;  Home and car remodeling; and  Replacement of lost or stolen equipment.