Physiotherapy Services Sample Clauses

Physiotherapy Services. Add an annual maximum for physiotherapy services at $2,000 per year effective January 1, 2020.
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Physiotherapy Services. Go Physiotherapy Physio-Care Services April 23, 2001 Doctor Address Dear Dr. : As you may be aware, Camco is Canada’s largest manufacturer of appliances and we have a facility in Hamilton, Ontario. At that plant, we assemble ranges and refrigerators. We have about 1000 hourly employees, who are represented by the CAW. As a Company, we believe that we have an obligation to provide safe and meaningful work to our employees. We also believe that work is an important part of an employee maintaining a healthy and fulfilling life style. As part of our commitment to our employees, Xxxxx and the CAW have jointly agreed to a Modified Work Program to help our employees return to work after either a personal illness/injury or a work related injury. From time to time in the Program, a disagreement may arise between the employee, his/her personal physician and Xxxxx’s Medical Director as to the suitability of the work Camco is providing. To resolve these disputes, we are introducing a 3rd party arbitration process. Both parties have agreed to contact you to find out if you would be willing to participate in this process. A complete description of Camco’s Modified Work Program is attached for your review. The Medical Arbitration process is binding on the parties and your decision-making is restricted as follows: “The Medical Arbitrator’s jurisdiction will be restricted to determining the appropriateness of the modified work placement with respect to the employee’s work related restrictions. The Medical Arbitrator may recommend reasonable restrictions/workplace modifications.” Xxxxx would reimburse the cost of your review of the Medical Information, potentially examining the employee, and your time for the decision making process, at the rate of $175.00 per hour (plus applicable taxes). This is an amount within the recommended fee schedule of the OMA Schedule of Benefits. We would be happy to answer your questions on this process before you make your decision on participating in this program. I can be reached at (000) 000-0000. Yours truly, Xxxx Xxxxxxx MD, CCFP, CCBOM Medical Director APPENDIX A Dear Doctor: We are making a concentrated effort at Camco to provide restructured work assignments for employees recovering from work-related and non work-related injuries and illnesses. As such, we have developed a modified work program. Xxxxx's Modified Work Program involves close monitoring by Medical Services to ensure the condition is not worsening. As well, the Occupationa...
Sample 1
Physiotherapy Services. The maximum coverage per year/per subscriber is $1,500. Vision Care Services: The vision care portion of the Extended HealthCare Plan provides for a maximum of four hundred dollars ($400.00) every two (2) years, single/family to cover glasses or contact lenses. This vision care maximum will allow for eye examinations every two (2) years within the $400 maximum/subscriber.
Sample 1
Physiotherapy Services. The Supplier shall provide physiotherapy Services and shall deliver these Services either: face-to-face; via telephone; via Secure Video conferencing; using the online portal; and/or paper based. The Supplier shall provide the Buyers Personnel with exercise and advice programmes that can be self-managed by the Buyers Personnel. The Supplier shall accept self-referral from Buyers Personnel or from Referring Managers, in line with the Buyers policies. The Supplier shall provide Supplier Staff who are qualified as physiotherapists or suitably qualified to assess the needs of the Buyers Personnel and determine if physiotherapy Services are an appropriate form of treatment. The Supplier shall agree the criteria for face-to-face or video conferencing physiotherapy with the Buyers who will approve the number of sessions that can be offered to the Buyers Personnel at Call Off stage. The Supplier shall provide face-to-face or video conferencing physiotherapy which shall accommodate the Buyers Personnel’s mobility needs and shall be conducted in a location which meets such needs. The Supplier shall provide a detailed assessment of the Buyers Personnel’s musculoskeletal injuries to identify any traumatic and trauma associated conditions. The Supplier shall provide a report to the Buyers Referring Manager if appropriate and the Buyers Personnel, on the nature, extent and prognosis of each individual condition, including appropriate treatment programmes. The Supplier shall provide fast track physiotherapy Services to the Buyers Personnel who present with a musculoskeletal disorder resulting from an acute injury, which may or may not be work-related. The Supplier shall not provide this service to the Buyers Personnel with long-standing chronic conditions; such Buyers Personnel shall be signposted by the Supplier to NHS Primary care. The Supplier shall provide the Buyers Personnel with a telephone assessment within four (4) working days of request. The Supplier shall provide the Buyers Personnel with an appointment and first face-to-face physiotherapy session within seven (7) calendar days of referral. The Supplier shall provide the Referring Manager and the Buyers Personnel with a report detailing the outcome of the treatment within two (2) working days of completion of treatment.
Sample 1
Physiotherapy Services. The maximum coverage per year/per subscriber is $1,500.
Sample 1
Physiotherapy Services. It is understood that in the first year of this contract, there will be no maximum on physiotherapy services. In Years 2 and 3, of this contract a maximum cap of $1,500/subscriber/year will be implemented.
Sample 1

Related to Physiotherapy Services

  • 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.

  • 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. Preauthorization may be required for certain surgical services. Reconstructive Surgery for a Functional Deformity or Impairment 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. Preauthorization may be required for these services.

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Anesthesia Services This plan covers general and local anesthesia services received from an anesthesiologist when the surgical procedure is a covered healthcare service. This plan covers office visits or office consultations with an anesthesiologist when provided prior to a scheduled covered surgical procedure.

  • Telemedicine Services This plan covers clinically appropriate telemedicine services when the service is provided via remote access through an on-line service or other interactive audio and video telecommunications system in accordance with R.I. General Law § 27-81-1. Clinically appropriate telemedicine services may be obtained from a network provider, and from our designated telemedicine service provider. When you seek telemedicine services from our designated telemedicine service provider, the amount you pay is listed in the Summary of Medical Benefits. When you receive a covered healthcare service from a network provider via remote access, the amount you pay depends on the covered healthcare service you receive, as indicated in the Summary of Medical Benefits. For information about telemedicine services, our designated telemedicine service provider, and how to access telemedicine services, please visit our website or contact our Customer Service Department.

  • Surgical Services All necessary procedures for extractions and other surgical procedures normally performed by a dentist.

  • Dental Services The following dental services are not covered, except as described under Dental Services in Section 3: • Dental injuries incurred as a result of biting or chewing. • General dental services including, but not limited to, extractions including full mouth extractions, prostheses, braces, operative restorations, fillings, frenectomies, medical or surgical treatment of dental caries, gingivitis, gingivectomy, impactions, periodontal surgery, non-surgical treatment of temporomandibular joint dysfunctions, including appliances or restorations necessary to increase vertical dimensions or to restore the occlusion. • Panorex x-rays or dental x-rays. • Orthodontic services, even if related to a covered surgery. • Dental appliances or devices. • Preparation of the mouth for dentures and dental or oral surgeries such as, but not limited to, the following: o apicoectomy, per tooth, first root; o alveolectomy including curettage of osteitis or sequestrectomy; o alveoloplasty, each quadrant; o complete surgical removal of inaccessible impacted mandibular tooth mesial surface; o excision of feberous tuberosities; o excision of hyperplastic alveolar mucosa, each quadrant; o operculectomy excision periocoronal tissues; o removal of partially bony impacted tooth; o removal of completely bony impacted tooth, with or without unusual surgical complications; o surgical removal of partial bony impaction; o surgical removal of impacted maxillary tooth; o surgical removal of residual tooth roots; and o vestibuloplasty with skin/mucosal graft and lowering the floor of the mouth. Dialysis Services • The following dialysis services received in your home: o installing or modifying of electric power, water and sanitary disposal or charges for these services; o moving expenses for relocating the machine; o installation expenses not necessary to operate the machine; and o training in the operation of the dialysis machine when the training in the operation of the dialysis machine is billed as a separate service. • Dialysis services received in a physician’s office.

  • Hospital Services The Hospital will:

  • Environmental Services 1. Preparation of Environmental Documentation (CEQA/NEPA) including but not limited to the following:

  • Speech Therapy This plan covers speech therapy services when provided by a qualified licensed provider and part of a formal treatment plan for: • loss of speech or communication function; or • impairment as a result of an acute illness or injury, or an acute exacerbation of a chronic disease. Speech therapy services must relate to: • performing basic functional communication; or • assessing or treating swallowing dysfunction. See Autism Services when speech therapy services are rendered as part of the treatment of autism spectrum disorder. The amount you pay and any benefit limit will be the same whether the services are provided for habilitative or rehabilitative purposes.

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