From Outpatient Surgery Sample Clauses

From Outpatient Surgery on the first day of sur- xxxx, provided you lose a full days pay. Recurrent Disabilities – If the cause of your new absence is the same disability and you become disabled within 14 days of your return to work, benefits will start again where they left off and the normal 4 day waiting period will not apply. The company shall pay for the cost of the first required medical documentation required to support a benefit claim. Two additional medical documents per claim will be reimbursed up to $15.00 and $10.00 respectively. Survivor Income Benefits – Two kinds of benefits are provided to qualified survivors. The first is a transition benefit and the second is a bridge benefit where applicable. Extended Health Care Coverage • 100% of eligible charges for semi-private hospital, hear- ing aids, vision care, limited emergency ambulance transportation and 80% of all other eligible charges. • The deductible is $25.00 per covered person per calen- dar year. • Lifetime Maximum: $9,000 for hospice care; and $27,000 for all other eligible Benefits • Automatic re-instatement as outlined in the plan defini- tions. HOSPITAL — Semi-private room and board daily rate in a hospital in Canada. (not subject to the deductible). Four ($4.00) per day of private-room rate. • Convalescent Hospital – $18.00 per day room and board rate, up to 120 days for any one disability. • Hospice Care – $9000 in a covered person's lifetime. • Ambulance ServicesEmergency transportation under extended health, $60 .00 per trip, maximum 5 trips per year. • Chiropractor – $350 in a calendar year after exhausting the OHIP benefits. • Clinical Psychologist – $35.00 initial visit, $20.00 per hour subsequent visits, to a maximum $200 per 12 months, payable in addition to OHIP coverage. • Massage Therapy – $20.00 per visit to a maximum of 12 visits every 12 consecutive months. Life time maximum of $25,000. • Private Duty Nursingreasonable and customary. • Physiotherapy – $600.00 cap every 12 months • PSA TestThe Company will pay 100% of the cost. • Orthopedic shoes – (including orthotic devices) $375 in a calendar year. • Hearing Aids – $1200 in a covered person's lifetime (not subject to the deductible) • Homeopath, Naturopath – $225 max per 12 consecutive months per person per practitioner. • Speech Therapy – $225 for every 12 consecutive months per person per practitioner. Co-pay where applicable will apply. Any provincial health plan payment towards these services must be exhausted first. • Visio...
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From Outpatient Surgery on the first day of sur- xxxx, provided you lose a full days pay. Recurrent Disabilities – If the cause of your new absence is the same disability and you become disabled within 14 days of your return to work, benefits will start again where they left off and the normal 4 day waiting period will not apply. The company shall pay for the cost of the first required medical documentation required to support a benefit claim. Two additional medical documents per claim will be reimbursed up to $15.00 and $10.00 respectively. Survivor Income Benefits – Two kinds of benefits are provided to qualified survivors. The first is a transition benefit and the second is a bridge benefit where applicable. Extended Health Care Coverage  100% of eligible charges for hearing aids, vision care, limited emergency ambulance transportation and 80% of all other eligible charges.  The deductible is $25.00 per covered person per calen- dar year.  Lifetime Maximum: $9,000 for hospice care; and $27,000 for all other eligible Benefits  Automatic re-instatement as outlined in the plan defini- tions.

Related to From Outpatient Surgery

  • Outpatient If you receive dialysis services in a hospital's outpatient unit or in a dialysis facility, we cover the use of the treatment room, related supplies, solutions, drugs, and the use of the dialysis machine. In Your Home If you receive dialysis services in your home and the services are under the supervision of a hospital or outpatient facility dialysis program, we cover the purchase or rental (whichever is less, but never to exceed our allowance for purchase) of the dialysis machine, related supplies, solutions, drugs, and necessary installation costs. Related Exclusions If you receive dialysis services in your home, this agreement does NOT cover: • installing or modifying of electric power, water and sanitary disposal or charges for these services; • moving expenses for relocating the machine; • installation expenses not necessary to operate the machine; or • training you or members of your family in the operation of the machine. This agreement does NOT cover dialysis services when received in a doctor's office.

  • Outpatient Dental Anesthesia Services This plan covers anesthesia services received in connection with a dental service when provided in a hospital or freestanding ambulatory surgical center and: • the use of this is medically necessary; and • the setting in which the service is received is determined to be appropriate. This plan also covers facility fees associated with these services.

  • Surgery a) The performance of generally accepted operative and cutting procedures, including surgical diagnostic procedures, specialized instrumentations, endoscopic examinations, and other procedures;

  • Outpatient Services The following services are covered only at the Primary Care Provider’s office[selected by a [Member], or elsewhere [upon prior written Referral by a [Member]'s Primary Care Provider ]:

  • Patient Care Resident shall participate in safe, effective, and compassionate patient care, under supervision, commensurate with Resident's level of advancement and responsibility.

  • Inpatient In accordance with Rhode Island General Law §27-20-17.1, this agreement covers a minimum inpatient hospital stay of forty- eight (48) hours from the time of a vaginal delivery and ninety-six (96) hours from the time of a cesarean delivery: • If the delivery occurs in a hospital, the hospital length of stay for the mother or newborn child begins at the time of delivery (or in the case of multiple births, at the time of the last delivery). • If the delivery occurs outside a hospital, the hospital length of stay begins at the time the mother or newborn is admitted as a hospital in connection with childbirth. Any decision to shorten these stays shall be made by the attending physician in consultation with and upon agreement with you. In those instances where you and your infant participate in an early discharge, you will be eligible for: • up to two (2) home care visits by a skilled, specially trained registered nurse for you and/or your infant, (any additional visits must be reviewed for medical necessity); and • a pediatric office visit within twenty-four (24) hours after discharge. See Section 3.23 - Office Visits for coverage of home and office visits. We cover hospital services provided to you and your newborn child. Your newborn child is covered for services required to treat injury or sickness. This includes the necessary care and treatment of medically diagnosed congenital defects and birth abnormalities as well as routine well-baby care.

  • UNINTERRUPTED PATIENT CARE 18.1 It is recognized that the Hospital is engaged in a public service requiring continuous operation and it is agreed that recognition of such obligation of continuous service is imposed upon both the nurse and the Association. During the term of this Agreement, neither the Association nor its members, agents, representatives, employees or persons acting in concert with them shall incite, encourage or participate in any strike, sympathy strike, picketing, walkout, slowdown, sick out or other work stoppage of any nature whatsoever. In the event of any such activity, or a threat thereof, the Association and its officers will do everything within their power to end or avert same. Any nurse participating in any such activity will be subject to immediate dismissal.

  • Cosmetic Surgery Any non-medically necessary surgery or procedure whose primary purpose is to improve or change the appearance of any portion of the body to improve self-esteem, but which does not restore bodily function, correct a diseased state, physical appearance, or disfigurement caused by an accident, birth defect, or correct or naturally improve a physiological function. Cosmetic Surgery includes, but is not limited to, ear piercing, rhinoplasty, lipectomy, surgery for sagging or extra skin, any augmentation or reduction procedures (e.g., mammoplasty, liposuction, keloids, rhinoplasty and associated surgery) or treatment relating to the consequences or as a result of Cosmetic Surgery.

  • Medical Exams 18.1: The Sheriff's Department may require a physical and/or psychological exam by a doctor, at the Employer's expense, to determine the employee's ability to perform his/her regular duties, if deemed appropriate. The employee may obtain a second opinion, at the employee's expense, and in the event there is a dispute between the Employer's doctor and the employee's doctor, both of these doctors shall select a third doctor, whose decision shall be final and binding on the parties. The expense for the third doctor's opinion shall be split 50-50 by the Employer and the employee if not covered by the employee's insurance.

  • Radiation Therapy/Chemotherapy Services This plan covers chemotherapy and radiation services. Respiratory Therapy This plan covers respiratory therapy services. When respiratory services are provided in your home, as part of a home care program, durable medical equipment, supplies, and oxygen are covered as a durable medical equipment service.

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