Common use of Home Health Care Clause in Contracts

Home Health Care. Services received from a Home Health Agency that are all of the following: • Ordered by a Physician. • Provided in your home by a registered nurse, or provided by a home health aide, home health therapist, or licensed practical nurse and supervised by a registered nurse. • Provided on a part-time, Intermittent Care schedule. • Provided when Skilled Care is required. • Provides each patient with a planned program of observation and treatment by a Physician, in accordance with existing standards of medical practice for the Sickness or Injury requiring the Home Health Care. For Covered Persons that received less than 48 hours of inpatient hospitalization following a mastectomy or removal of a testicle or who undergo a mastectomy or removal of a testicle on an outpatient basis will receive the following: • One home visit scheduled to occur within 24 hours after discharge from the Hospital or outpatient health care facility; and • An additional home visit if prescribed by the Covered Person’s attending Physician. We will determine if Benefits are available by reviewing both the skilled nature of the service and the need for Physician-directed medical management.