Pneumonectomy Sample Clauses
The Pneumonectomy clause defines the terms and conditions under which a surgical procedure to remove a lung (pneumonectomy) is addressed within the agreement. This clause typically outlines the circumstances that warrant such a procedure, the responsibilities of the parties involved (such as the patient, healthcare provider, or insurer), and any requirements for consent or pre-authorization. For example, it may specify that coverage is provided only if the procedure is medically necessary and performed by a qualified surgeon. The core function of this clause is to ensure clarity regarding the authorization, coverage, and obligations related to pneumonectomy, thereby reducing disputes and misunderstandings about this significant medical intervention.
Pneumonectomy. The undergoing of surgery on the advice of an appropriate Medical Specialist to remove an entire lung for disease or traumatic injury suffered by the life assured. The following conditions are excluded: • Removal of a lobe of the lungs (lobectomy) • Lung resection or incision
Pneumonectomy i. Consultation Paper stating the presenting complaints with duration, past medical history with duration, treatment and medication advised.
ii. Medical report: Xray, CT scan chest, Bronchoscopy for lung tumor.
iii. Letter from the chest physician stating the exact cause of lung disease leading to Pneumonectomy.
iv. Any other documents as may be required by Us.