Skilled Nursing Facilities a. The following Health Care Services may be Covered Services when you are a patient in a Skilled Nursing Facility: i. room and board;
The Nursing Homes and Related Industries Pension Plan In this Article, the terms used shall have the meanings as described:
Urgent Care This plan covers services received at an urgent care center. For other services, such as surgery or diagnostic tests, the amount that you pay is based on the type of service being provided. See Summary of Medical Benefits for details. Follow-up care (such as suture removal or wound care) should be obtained from your primary care provider or specialist.
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.
Gardens Lawns, xxxxxx, flower beds, trees, shrubs, outside walls and fences.
Skilled Care in a Nursing Facility This plan covers skilled nursing services in a skilled nursing facility if: • the services are prescribed by a physician: • your condition needs skilled nursing services, skilled rehabilitation services or skilled nursing observation; • the services are provided by or supervised by licensed technical or professional medical personnel; and • the services are not custodial care, respite care, day care, or for the purpose of assisting with activities of daily living.
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.
Orlando, FL; Ft Lauderdale, FL; Charlotte-Gastonia-Rock Hill, NC; Greensboro-Winston Salem-High Point, NC; Nashville, TN; and New Orleans, LA, and BellSouth has provided non- discriminatory cost based access to the Enhanced Extended Link (EEL) throughout Density Zone 1 as determined by NECA Tariff No. 4 as in effect on January 1, 1999.
Hospital Central Agreement March The duration of such supernumerary appointments will be for the period of funding (currently months) or such other period as the local parties may agree; Such nurses will not be permitted to transfer out of the supernumerary position on the unit for the duration of the supernumerary appointment; Such nurses can apply for posted positions after the probationary period is completed but cannot transfer until completion of the supernumerary appointment; If the nurse has not successfully posted into a permanent position by the end of the supernumerary appointment, will be reclassified as casual part-time and this will not be considered a lay-off and the nurse will not be reassigned; The Hospital bears the onus of demonstrating that such positions are supernumerary; The Association will be provided with such written information as it may reasonably require regarding each supernumerary position; In the event of a layoff in the area of assignment of the supernumerary nurse, either the Hospital or the Local Association may require that the supernumerary nurse shall be first laid off. LETTER OF UNDERSTANDING RE: REDESIGN agrees to establish a provincial working group with the Participating Hospitals consisting of at least representatives from each side to investigate sick leave utilization and the Hospitals’ proposed changes to with a view to addressing the Hospitals’ concerns and to make recommendations to the parties on appropriate changes to be made to The working group will have access to expertise and resources as appropriate. The working group will commence meeting within months of the date of the award. The working group will arrange its activities in order to endeavour to arrive at recommendations for the parties in advance of the next round of negotiations or such longer period as the working group may agree. The time spent by the members on the working group will be deemed time worked and members will be compensated at their regular straight time hourly rate. members on the working group will be granted such time off as is deemed necessary to participate in the work. Hospital Central Agreement -March Article Absence Effect on Benefit Payment Absence Effect on Seniority Access to Files Accommodation INDEX SUBJECT MATTER GUIDE Collective Agreement Expiry Date: March Article Number Number Advance Sick Time while awaiting Payment Advancement on Salary Grid Agency usage Ambulance Escort Appendices, etc.: Appendix Grievance Form Appendix Independent Assessment Committee Appendix Local issues Appendix Professional Responsibility Complaint Form Appendix Letters of Understanding Arbitration Benefits Review Bereavement During Vacation Bumping In, Call-back Cancellation of Shift as lay-off Carriage of Grievance by Union Casual Nurse (definition) Central Bargaining Process Certificate of Registration Change of Address Committees: Central Negotiating Team Grievance Committee Committee Joint Occupational Health Safety Committee Negotiating committee Professional Development Committee Workload Complaint Assessment Committee Computer Technology Training Controlled Acts Contracting Out Counseling Letters Credit for Recent Related Experience Deemed Termination Demotion Discharge Discipline Removal from File Dues deduction Discrimination Prohibited Hospital Central Agreement -March Education Allowance Flu Vaccine Article
Urgent Care Services All Medically Necessary Covered Services received in Urgent Care Centers, Retail Clinics or your Primary Care Physician’s office after-hours to treat an Urgent Medical Condition will be covered by AvMed. Any request for reimbursement of payment made by a Member for services received must be filed within 90 days or as soon as reasonably possible but not later than one year unless the Member was legally incapacitated. If Urgent Medical Services and Care are required while outside the continental United States, Alaska or Hawaii, it is the Member’s responsibility to pay for such services at the time they are received. For information on filing a Claim for such services, see Part XIII. REVIEW PROCEDURES AND HOW TO APPEAL A CLAIM (BENEFIT) DENIAL.
