Medically Necessary or Medical Necessity. a. Medically Necessary or Medical Necessity means the use of any appropriate medical treatment, service, equipment or supply as provided by a Hospital, Skilled Nursing Facility, Physician or other provider which is necessary, as determined by AvMed, for the diagnosis, care or treatment of a Member's illness or injury and which is:
Appears in 8 contracts
Samples: Individual and Family Engage, www.avmed.org, www.avmed.org
Medically Necessary or Medical Necessity. a. “Medically Necessary Necessary” or “Medical Necessity means Necessity” shall mean health care services which are determined by the use of any appropriate medical treatment, service, equipment or supply as provided by a Hospital, Skilled Nursing Facility, attending Physician or other provider which is necessaryanother medical professional, as determined by AvMedmay be appropriate in each case, for the diagnosis, care or treatment of a Member's illness or injury and which isto be:
Appears in 1 contract
Samples: Spohn Membership Agreement
Medically Necessary or Medical Necessity. a. Medically Necessary or Medical Necessity means the use of any appropriate medical treatment, service, equipment equipment, or supply as provided by a Hospital, Skilled Nursing Facility, Physician Physician, or other provider which is necessary, as determined by AvMed, for the diagnosis, care or treatment of a Member's illness or injury and which is:
Appears in 1 contract
Samples: www.avmed.org
