Common use of PHYSICIANS, HOSPITALS AND OTHER PROVIDERS Clause in Contracts

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through Elite Plan Participating Physicians, Hospitals and other Health Professionals , and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.

PHYSICIANS, HOSPITALS AND OTHER PROVIDERS. 7.1 Provider and Service Arrangement. AvMed is committed to arranging for comprehensive prepaid Health Care Services rendered to Members through Elite Flex Plan Participating Physicians, Hospitals and other Health Professionals , and Non-Participating Providers, as described in this Contract, under reasonable standards of quality health care. The professional judgment of a Physician licensed under Chapter 458 (Physician), 459 (osteopath), 460 (chiropractor) or 461 (podiatrist), Florida Statutes (or if outside Florida, applicable state law), concerning the proper course of treatment for a Member, will not be subject to modification by AvMed or its Board of Directors, Officers, or Administrators. However, this Section is not intended to, and will not, restrict any Utilization Management Program established by AvMed.