Mammography Sample Clauses

Mammography. This benefit includes screening and diagnostic mammography services when referred by a Member’s medical doctor, advanced registered nurse practitioner, or physician’s assistant. The first mammogram per Calendar Year is covered under the Preventive Care benefit, regardless of diagnosis. Subsequent mammograms in the same Calendar Year are covered under the Laboratory and Radiology Services benefit, regardless of diagnosis.
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Mammography. This Section 3.6 is only applicable during the period January 1, 2001, through December 31, 2001. Medical Group shall receive *** for each screening and diagnostic mammography study performed above the 1987 PacifiCare-wide baseline, specific to the Secure Horizons program, for such studies. (This baseline equals 267 studies per one thousand (1,000) adult females.) The amount due to Medical Group shall be calculated based upon utilization data submitted by Medical Group and shall be paid within one hundred and fifty (150) days of the end of the current calendar year.
Mammography. Benefits are available for mammograms, at intervals described in the Schedule of Benefits. Services must be prescribed by the Member's physician and rendered in facilities or programs that meet the standards set by the American College of Radiology for Mammography, or as defined by CareFirst. Such standards include provisions for equipment, staffing, interpretation, supervision, and radiation levels used for screening mammography.
Mammography. Reimbursement for routine mammograms shall be limited to *** per Member per calendar year.
Mammography. The charges for female Covered Person's expenses for mammography services, up to one routine mammography every calendar year if the Covered Person is age 40 or older. In addition, any mammography recommended by a Physician. Maternity-Related Care The charges for female Covered Person's expenses incurred as a result of pregnancy, miscarriages and Medically Necessary and elective abortions. Life threatening abortions will be covered as any other surgery. The Covered Person, a member of his or her family, a hospital staff member, but preferably the attending Physician, must notify CHI at 1 800-541-3149 as soon as pregnancy is confirmed and within 24 hours xxxxx xxxxx xf a child or as soon thereafter as reasonably possible. Mental or Nervous Disorders For coverage of mental or nervous disorder, please refer to "Psychiatric Treatment" below. Newborn Baby Care The charges for care of newborn children, including Hospital charges for nursery room and board and miscellaneous expenses.
Mammography. 3. Bone mass measurement testing for diagnostic and treatment purposes. Bone Mass Measurement means a radiological or radioisotopic procedure or other scientifically proven technology performed on a Qualified Individual of the purpose of identifying bone mass or detecting bone loss.

Related to Mammography

  • Cryptography Supplier will maintain policies and standards on the use of cryptographic controls that are implemented to protect Accenture Data.

  • Bibliography [Ben83] Xxxxxxx Xxx-Or. Another advantage of free choice (extended ab- stract): Completely asynchronous agreement protocols. In Proceed- ings of the second annual ACM symposium on Principles of distrib- uted computing, pages 27–30. ACM, 1983. [BG89] Xxxxx Xxxxxx and Xxxx X Xxxxx. Asymptotically optimal distributed consensus. Springer, 1989. [BGP89] Xxxxx Xxxxxx, Xxxx X. Xxxxx, and Xxxxxxx X. Xxxxx. Towards optimal distributed consensus (extended abstract). In 30th Annual Symposium on Foundations of Computer Science, Research Triangle Park, North Carolina, USA, 30 October - 1 November 1989, pages 410–415, 1989. [BT85] Xxxxxxx Xxxxxx and Xxx Xxxxx. Asynchronous consensus and broadcast protocols. Journal of the ACM (JACM), 32(4):824–840, 1985. [DGM+11] Xxxxxxxx Xxxxx, Xxxxxx Xxx Xxxxxxxx, Xxxxxx Xxxxxx, Xxxxxx Xxxxxxxxx, and Xxxxxxxxx Xxxxxxxxxx. Stabilizing Consensus with the Power of Two Choices. In Proceedings of the Twenty-third Annual ACM Symposium on Parallelism in Algorithms and Architectures, SPAA, June 2011. [DS83] Xxxxx Xxxxx and X. Xxxxxxx Xxxxxx. Authenticated algorithms for byzantine agreement. SIAM Journal on Computing, 12(4):656–666, 1983. [FG03] Xxxxxxxx Xxxxx and Xxxx X Xxxxx. Efficient player-optimal protocols for strong and differential consensus. In Proceedings of the twenty- second annual symposium on Principles of distributed computing, pages 211–220. ACM, 2003.

  • Diagnostic procedures to aid the Provider in determining required dental treatment.

  • Prosthodontics We Cover prosthodontic services as follows: • Removable complete or partial dentures, for Members 15 years of age and above, including six (6) months follow-up care; • Additional services including insertion of identification slips, repairs, relines and rebases and treatment of cleft palate; and • Interim prosthesis for Members five (5) to 15 years of age. We do not Cover implants or implant related services. Fixed bridges are not Covered unless they are required: • For replacement of a single upper anterior (central/lateral incisor or cuspid) in a patient with an otherwise full complement of natural, functional and/or restored teeth; • For cleft palate stabilization; or • Due to the presence of any neurologic or physiologic condition that would preclude the placement of a removable prosthesis, as demonstrated by medical documentation.

  • Vaccination and Inoculation (a) The Employer agrees to take all reasonable precautions, including in-service seminars, to limit the spread of infectious diseases among employees.

  • Screening 3.13.1 Refuse containers located outside the building shall be fully screened from adjacent properties and from streets by means of opaque fencing or masonry walls with suitable landscaping.

  • Durable Medical Equipment (DME), Medical Supplies, Prosthetic Devices, Enteral Formula or Food, and Hair Prosthesis (Wigs) This plan covers durable medical equipment and supplies, prosthetic devices and enteral formula or food as described in this section. Durable Medical Equipment (DME) DME is equipment which: • can withstand repeated use; • is primarily and customarily used to serve a medical purpose; • is not useful to a person in the absence of an illness or injury; and • is for use in the home. DME includes supplies necessary for the effective use of the equipment. This plan covers the following DME: • wheelchairs, hospital beds, and other DME items used only for medical treatment; and • replacement of purchased equipment which is needed due to a change in your medical condition or if the device is not functional, no longer under warranty, or cannot be repaired. DME may be classified as a rental item or a purchased item. In most cases, this plan only pays for a rental DME up to our allowance for a purchased DME. Repairs and supplies for rental DME are included in the rental allowance. Preauthorization may be required for certain DME and replacement or repairs of DME. Medical Supplies Medical supplies are consumable supplies that are disposable and not intended for re- use. Medical supplies require an order by a physician and must be essential for the care or treatment of an illness, injury, or congenital defect. Covered medical supplies include: • essential accessories such as hoses, tubes and mouthpieces for use with medically necessary DME (these accessories are included as part of the rental allowance for rented DME); • catheters, colostomy and ileostomy supplies, irrigation trays and surgical dressings; and • respiratory therapy equipment. Diabetic Equipment and Supplies This plan covers diabetic equipment and supplies for the treatment of diabetes in accordance with R.I. General Law §27-20-30. Covered diabetic equipment and supplies include: • therapeutic or molded shoes and inserts for custom-molded shoes for the prevention of amputation; • blood glucose monitors including those with special features for the legally blind, external insulin infusion pumps and accessories, insulin infusion devices and injection aids; and • lancets and test strips for glucose monitors including those with special features for the legally blind, and infusion sets for external insulin pumps. The amount you pay differs based on whether the equipment and supplies are bought from a durable medical equipment provider or from a pharmacy. See the Summary of Pharmacy Benefits and the Summary of Medical Benefits for details. Coverage for some diabetic equipment and supplies may only be available from either a DME provider or from a pharmacy. Visit our website to determine if this is applicable or call our Customer Service Department. Prosthetic Devices Prosthetic devices replace or substitute all or part of an internal body part, including contiguous tissue, or replace all or part of the function of a permanently inoperative or malfunctioning body part and alleviate functional loss or impairment due to an illness, injury or congenital defect. Prosthetic devices do not include dental prosthetics. This plan covers the following prosthetic devices as required under R.I. General Law § 27-20-52: • prosthetic appliances such as artificial limbs, breasts, larynxes and eyes; • replacement or adjustment of prosthetic appliances if there is a change in your medical condition or if the device is not functional, no longer under warranty and cannot be repaired; • devices, accessories, batteries and supplies necessary for prosthetic devices; • orthopedic braces except corrective shoes and orthotic devices used in connection with footwear; and • breast prosthesis following a mastectomy, in accordance with the Women’s Health and Cancer Rights Act of 1998 and R.I. General Law 27-20-29. The prosthetic device must be ordered or provided by a physician, or by a provider under the direction of a physician. When you are prescribed a prosthetic device as an inpatient and it is billed by a provider other than the hospital where you are an inpatient, the outpatient benefit limit will apply. Enteral Formulas or Food (Enteral Nutrition) Enteral formula or food is nutrition that is absorbed through the intestinal tract, whether delivered through a feeding tube or taken orally. Enteral nutrition is covered when it is the sole source of nutrition and prescribed by the physician for home use. In accordance with R.I. General Law §27-20-56, this plan covers enteral formula taken orally for the treatment of: • malabsorption caused by Crohn’s Disease; • ulcerative colitis; • gastroesophageal reflux; • chronic intestinal pseudo obstruction; and • inherited diseases of amino acids and organic acids. Food products modified to be low protein are covered for the treatment of inherited diseases of amino acids and organic acids. Preauthorization may be required. The amount that you pay may differ depending on whether the nutrition is delivered through a feeding tube or taken orally. When enteral formula is delivered through a feeding tube, associated supplies are also covered. Hair Prosthesis (Wigs) This plan covers hair prosthetics (wigs) worn for hair loss suffered as a result of cancer treatment in accordance with R.I. General Law § 27-20-54 and subject to the benefit limit and copayment listed in the Summary of Medical Benefits. This plan will reimburse the lesser of the provider’s charge or the benefit limit shown in the Summary of Medical Benefits. If the provider’s charge is more than the benefit limit, you are responsible for paying any difference. Early Intervention Services (EIS) This plan covers Early Intervention Services in accordance with R.I. General Law §27- 20-50. Early Intervention Services are educational, developmental, health, and social services provided to children from birth to thirty-six (36) months. The child must be certified by the Rhode Island Department of Human Services (DHS) to enroll in an approved Early Intervention Services program. Services must be provided by a licensed Early Intervention provider and rendered to a Rhode Island resident. Members not living in Rhode Island may seek services from the state in which they reside; however, those services are not covered under this plan. Early Intervention Services as defined by DHS include but are not limited to the following: • speech and language therapy; • physical and occupational therapy; • evaluation; • case management; • nutrition; • service plan development and review; • nursing services; and • assistive technology services and devices.

  • Laboratory a. Drug tests shall be conducted by laboratories licensed and approved by SAMSHA which comply with the American Occupational Medical Association (AOMA) ethical standards. Upon advance notice, the parties retain the right to inspect the laboratory to determine conformity with the standards described in this policy. The laboratory will only test for drugs identified in this policy. The City shall bear the cost of all required testing unless otherwise specified herein.

  • Preceptor A per diem Registered Nurse 2 may serve as a preceptor after successfully completing a preceptor workshop or equivalent documented training and agreeing to and being appointed to be specifically responsible for planning, organizing, and evaluating the new skill development of one or more RNs as appropriate enrolled in a defined orientation program, the parameters of which have been set forth in writing by the Employer. This includes teaching, clinical supervision, role modeling, feedback, evaluation (verbal and written) and follow up of the new or transferring employee. The per diem RN 2 preceptor is eligible to receive preceptor premium pay when actually engaged in preceptor role responsibilities with/on behalf of the orienting RN. A per diem RN 2 substituting for the original preceptor during a period of absence and who has been designated to carry out the preceptor's complete responsibility (including following and/or adjusting the plan to meet learning needs and providing oral and written evaluation input) will receive preceptor pay. A preceptor may be assigned to a student when it is determined by the Employer that the employee has completed the required preceptor training or has agreed to and been appointed a preceptor. The employee is specifically responsible for planning, organizing, and evaluating the new skill development of the student as appropriately enrolled in a defined program, the parameters of which have been set forth in writing by the Employer. This includes teaching, clinical supervision, role modeling, feedback, evaluation (verbal and written) and follow up of the student.

  • Speech Therapy This plan covers speech therapy services when provided by a qualified licensed provider and part of a formal treatment plan for: • loss of speech or communication function; or • impairment as a result of an acute illness or injury, or an acute exacerbation of a chronic disease. Speech therapy services must relate to: • performing basic functional communication; or • assessing or treating swallowing dysfunction. See Autism Services when speech therapy services are rendered as part of the treatment of autism spectrum disorder. The amount you pay and any benefit limit will be the same whether the services are provided for habilitative or rehabilitative purposes.

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