Managed Physical Medicine Program Sample Clauses

Managed Physical Medicine Program. (MPMP) The Empire Plan's medical care component will offer a comprehensive managed care network benefit for the provision of medically necessary physical medicine services, including physical therapy and chiropractic treatments as follows: • Authorized network care will be available, subject only to the Plan's participating provider office visit copayments. • Unauthorized medically necessary care, at enrollee choice, will also be available, subject to a $250 annual deductible per enrollee, $250 per spouse and $250 deductible for one or all dependent children and a maximum payment of 50 percent of the network allowance for the service provided. • Maximum benefits for non-network care will be limited to $1,500 in payments per person per calendar year. Deductible/coinsurance payments will not be applicable to the Plan's annual basic medical deductible/coinsurance maximum.
Sample 1
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Managed Physical Medicine Program. The Empire Plan's medical care component will offer a comprehensive managed care network benefit for the provision of medically necessary physical medicine services, including physical therapy, occupational therapy, and chiropractic treatments as follows:
Sample 1

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