Common use of Orthotic Appliances Clause in Contracts

Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. · Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.

Appears in 2 contracts

Samples: Subscriber Agreement, Subscriber Agreement

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Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. · Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetesDiabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.

Appears in 1 contract

Samples: Presbyterian Health

Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. · Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.

Appears in 1 contract

Samples: Subscriber Agreement

Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other another significant neuropathy. · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. · guidelines.‌ • Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetesDiabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.

Appears in 1 contract

Samples: Presbyterian Health

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Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. · Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetesDiabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.

Appears in 1 contract

Samples: Subscriber Agreement

Orthotic Appliances. Orthotic Appliances include braces and other external devices used to correct a body function including clubfoot deformity. Orthotic Appliances must be Medically Necessary and may require Prior Authorization. Orthotic Appliances are subject to the following limitations: · Foot Orthotics or shoe appliances are not Covered, except for our Members with diabetic neuropathy or other significant neuropathy. · Pre-fabricated knee-ankle-foot orthoses (KAFO) and ankle-foot orthoses (AFO) are Covered for our Members in accordance with nationally recognized guidelines. · Covered Orthotic Appliances including: o Podiatric appliances for prevention of feet complications associated with diabetes. o Repair and replacement of durable medical equipment, prosthetics and orthotic devices must comport with state law. Please see the Diabetes Section.

Appears in 1 contract

Samples: Subscriber Agreement

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