Optometry Services Sample Clauses

Optometry Services. Although a referral or prior authorization is not required to receive care from these Providers, the Provider may have to get prior authorization for certain Services. For the most up-to-date list of Plan Medical Centers and Plan Providers, visit us online at ▇▇▇.▇▇.▇▇▇. To request a Provider Directory, please contact Member Services Monday through Friday between 7:30 a.m. and 9 p.m. at ▇-▇▇▇-▇▇▇-▇▇▇▇ or 711 (TTY).
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Optometry Services. The Health Services Manager must provide optometry services to Transferees in accordance with this clause 27.1 and Annexure B (Onsite Health Services) to this Schedule 2, including:
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Optometry Services. For the most up-to-date list of Plan Medical Centers and Plan Providers, visit us online at ▇▇▇.▇▇.▇▇▇. To request a Provider Directory, please contact Member Services Monday through Friday between 7:30 a.m. and 9 p.m. at ▇-▇▇▇-▇▇▇-▇▇▇▇ or 711 (TTY).
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Optometry Services. Although a referral or prior authorization is not required to receive care from these Providers, the Provider may have to get prior authorization for certain Services. For the most up-to-date list of Plan Medical Centers and Plan Providers, visit us online at www.kp.org. To request a Provider Directory, please contact Member Services Monday through Friday between 7:30 a.m. and 9 p.m. at 1-800-777-7902 or 711 (TTY).
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Optometry Services. Emergency Services do not require a referral from your Primary Care Plan Physician, regardless if the Emergency Services are received from a Plan Provider or a non-Participating Provider. Although a referral or prior authorization is not required to receive care from these Providers, the Provider may have to get prior authorization for certain Services. For the most up-to-date list of Plan Medical Centers and Plan Providers, visit us online at ▇▇▇.▇▇.▇▇▇. To request a Provider Directory, please contact Member Services Monday through Friday between 7:30 a. m. and 9 p.m. Eastern Standard Time (EST) at ▇-▇▇▇-▇▇▇-▇▇▇▇ or 711 (TTY).
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Optometry Services. Urgent Care Services provided within our Service Area. Although a referral or prior authorization is not required to receive care from these providers, the provider may have to get prior authorization for certain Services. For the most up-to-date list of Plan Medical Centers and other Plan Providers, visit our website at ▇▇▇.▇▇.▇▇▇. To request a provider directory, please call our Member Services Department at the number listed on your Health Plan identification card. Standing Referrals to Specialists If you suffer from a life-threatening, degenerative, chronic or disabling disease or condition that requires specialized care, your primary care Plan Physician may determine, in consultation with you and the specialist, that you need continuing care from the specialist. In such instances, your primary care Plan Physician will issue a standing referral to the specialist. The standing referral shall be made in accordance with a written treatment plan for covered Services developed by the specialist, your primary care Plan Physician and you. The treatment plan may limit the number of visits to the specialist; limit the period of time in which visits to the specialist are authorized; and require the specialist to communicate regularly with your primary care Plan Physician regarding the treatment and your health status.
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Related to Optometry Services

  • Surgery Services This plan covers surgery services to treat a disease or injury when: • the operation is not experimental or investigational, or cosmetic in nature; • the operation is being performed at the appropriate place of service; and • the physician is licensed to perform the surgery. This plan covers reconstructive surgery and procedures when the services are performed to relieve pain, or to correct or improve bodily function that is impaired as a result of: • a birth defect; • an accidental injury; • a disease; or • a previous covered surgical procedure. Functional indications for surgical correction do not include psychological, psychiatric or emotional reasons. This plan covers the procedures listed below to treat functional impairments. • abdominal wall surgery including panniculectomy (other than an abdominoplasty); • blepharoplasty and ptosis repair; • gastric bypass or gastric banding; • nasal reconstruction and septorhinoplasty; • orthognathic surgery including mandibular and maxillary osteotomy; • reduction mammoplasty; • removal of breast implants; • removal or treatment of proliferative vascular lesions and hemangiomas; • treatment of varicose veins; or • gynecomastia.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Laboratory Services Covered Services include prescribed diagnostic clinical and anatomic pathological laboratory services and materials when authorized by a Member's PCP and HPN’s Managed Care Program.

  • Infertility Services Freezing, storage and thawing of embryos, sperm, or other tissues, for future use, unless the freezing, storage and thawing is needed due to potential iatrogenic infertility as described in Infertility Services in Section 3. • Reversal of voluntary sterilization or infertility treatment for a person that previously had a voluntary sterilization procedure. • Fees associated with finding an egg or sperm donor, related storage, donor stipend, or shipping charges. • Services related to surrogate parenting, when the surrogate is not a member of this

  • Pharmacy Services The Contractor agrees to comply with the requirements regarding covered pharmacy and over-the- counter (OTC) benefits. The Contractor will comply with the EOHHS Pharmacy Home Program and the Generics First Initiative, including the maintenance of the drug formulary in accordance with the direction of the EOHHS Pharmacy Committee.