Common use of Organ Transplants Clause in Contracts

Organ Transplants. This plan covers transplants for heart, heart-lung, lung, liver, small intestine, pancreas, kidney, cornea, small bowel, and bone marrow. Covered healthcare services related to allogenic bone marrow transplant include medical and surgical services for the matching participant donor and the recipient. Human Leukocyte Antigen testing is covered as indicated in the Summary of Medical Benefits. This plan covers high dose chemotherapy and radiation services related to autologous bone marrow transplantation to the extent required under R.I. Law § 27-20-60. See Experimental or Investigational Services in Section 3 for additional information. When the recipient is a covered member under this plan, the following services are also covered:  obtaining donated organs (including removal from a cadaver);  donor medical and surgical expenses related to obtaining the organ that are integral to the harvesting or directly related to the donation and limited to treatment occurring during the same stay as the harvesting and treatment received during standard post- operative care; and  transportation of the organ from donor to the recipient. The amount you pay for transplant services, for the recipient and eligible donor, is based on the type of service. This plan offers access to a national transplant network called the Blue Distinction Centers for Transplants. SM For more information about the Blue Distinction Centers for TransplantsSM call our Case Management Department at 0-000-000-0000 or 1-888-727- 2300 ext. 2273.

Organ Transplants. This plan covers transplants for heart, heart-lung, lung, liver, small intestine, pancreas, kidney, cornea, small bowel, and bone marrow. Covered healthcare services related to allogenic bone marrow transplant include medical and surgical services for the matching participant donor and the recipient. Human Leukocyte Antigen testing is covered as indicated in the Summary of Medical Benefits. This plan covers high dose chemotherapy and radiation services related to autologous bone marrow transplantation to the extent required under R.I. Law § 27-20-60. See Experimental or Investigational Services in Section 3 for additional information. When the recipient is a covered member under this plan, the following services are also covered:  • obtaining donated organs (including removal from a cadaver);  • donor medical and surgical expenses related to obtaining the organ that are integral to the harvesting or directly related to the donation and limited to treatment occurring during the same stay as the harvesting and treatment received during standard post- operative care; and  • transportation of the organ from donor to the recipient. The amount you pay for transplant services, for the recipient and eligible donor, is based on the type of service. This plan offers access to a national transplant network called the Blue Distinction Centers for Transplants. SM For more information about the Blue Distinction Centers for TransplantsSM call our Case Management Department at 0-000-000-0000 or 1-888-727- 2300 ext. 2273.