Emergency Care and Services Clause Samples

Emergency Care and Services. Ambulance Emergency room care and treatment including hospitalization, if necessary. Prior authorization is NOT required for emergency services. In an emergency call 911. (For more information on emergency services, see section 4 of this Enrollment Agreement.) Semi-private room and board Physician and nursing services Meals including special diets Custodial care Personal care and assistance Drugs and biologicals Physical, speech and occupational therapies Social services Medical supplies and appliances Other services determined necessary by the Interdisciplinary Team Home Health Care and related services Skilled nursing services Physician visits Physical, speech and occupational therapies Social services Home health aide services Homemaker/chore services Medical supplies and equipment Home delivered meals Dental Care Our first priority for dental care is to treat pain and acute infection. Our second priority is to maintain dental functioning so that you can chew as well as possible. The ESP contracted dentist provides dental care according to the need and appropriateness as determined by the IDT. Diagnostic examinations and x-rays Preventive services, prophylaxis and oral hygiene Restorative fillings, temporary or permanent crowns Prosthetic appliances, complete or partial dentures Oral surgery - extracting teeth or removal or repair of soft and hard gum tissue Health related Services Health-related services may include, but are not limited to the following: Medical supplies and equipment Home delivered meals Transportation Lifeline System Escort services for non-evasive medical appointments Translation services Assistance with money and bill management. End of Life Services – End of life services are provided in a hospital, nursing facility, or at home.

Emergency Care and Services. ⮚ Ambulance ⮚ Emergency room care and treatment including hospitalization, if necessary For more information regarding emergency services, please see Section 4: Access to After-Hours Care, Emergency Care, and Urgent Care.

Emergency Care and Services a. Ambulance b. Emergency room care and treatment including hospitalization, if necessary Please note that prior authorization is NOT required for emergency services. In an emergency dial 911. For more information on emergency services, see the After Hours Care, Emergency and Urgent Care section on page 8 of this Enrollment Agreement.