Preferred Care Sample Clauses
Preferred Care. This is a health care service or supply furnished by a health care provider that is not a Preferred Care Provider; if, as determined by Aetna: • The service or supply could have been provided by a Preferred Care Provider; and • The provider is of a type that falls into one or more of the categories of providers listed in ▇▇▇.▇▇▇▇▇▇▇.▇▇▇.
Preferred Care. An add-on to Enterprise Support, cloud editions that includes strategic guidance and customer-specific best practices to help drive user adoption and value realization (Representation below includes Enterprise Support, cloud editions). Preferred Care may not be available as an add-on to your Cloud Services operated by CDC. Please refer to CDC as to availability and purchase options.
Preferred Care. Preferred Providers in the Personal Choice Network must contact the Carrier to initiate Precertification. The Carrier will verify the results of the Precertification with the Covered Person and with the Preferred Provider. If the Preferred Provider is a BlueCard PPO Provider, however, the Covered Person must initiate Precertification. If such prior approval is not obtained and the Covered Person undergoes the surgical, diagnostic or other procedure or treatment listed in the “Services Requiring Precertification” subsection of this Managed Care section, then benefits will be provided for Medically Appropriate/Medically Necessary treatment, subject to a Penalty. For Preferred Providers in the Personal Choice Network, the Carrier will hold the Covered Person harmless and the Covered Person will not be financially responsible for this financial Penalty for the Preferred Provider's failure to comply with the Precertification requirements or determination, unless a Covered Person elects to receive the treatment after review and written notification that the procedure is not covered as Medically Appropriate/Medically Necessary. In which case benefits will not be provided and the Covered Person will be financially liable for non-covered charges.
Preferred Care. Preferred Providers in the Personal Choice Network must contact the Carrier to initiate Precertification. The Carrier will verify the results of the Precertification with the Covered Person and with the Preferred Provider. If the Preferred Provider is a BlueCard PPO Provider, however, the Covered Person must initiate Precertification.
Preferred Care. This is a health care service or supply furnished by a Preferred Care Provider or a health care provider that is not a Preferred Care Provider for an emergency condition when travel to a Preferred Provider is not feasible.