Preventive Care Sample Clauses

Preventive Care. This plan covers preventive care as described below. “

Preventive Care.  Drugs to treat infertility, to enhance fertility or to treat sexual dysfunction  Weight management drugs or drugs for the treatment of obesity  Replacement of lost or stolen medication

Preventive Care. Group shall have sole responsibility for --------------- all preventive care intended to delay, or intercept the development of pathologic conditions.

Preventive Care. Preventive care means: Evidence based items or services that are rated “A” or “B” in the current recommendations of the United States Preventive Services task Force with respect to the Member; Immunizations for routine use for Members of all ages as recommended by the Advisory Committee on Immunization Practices of the Centers of Disease Control and Prevention with respect to the Member; Evidence–informed preventive care and screenings for Members who are infants, children and adolescents, as included in the comprehensive guidelines supported by the Health Resources and Services Administration; Evidence–informed preventive care and screenings for Members as included in the comprehensive guidelines supported by the Health Resources and Services Administration; and Any other evidence-based or evidence-informed items as determined by federal and/or state law. Examples of preventive care include, but are not limited to: routine physical examinations, including related laboratory tests and x-rays, immunizations and vaccines, well baby care, pap smears, mammography, screening tests, bone density tests, colorectal cancer screening, prostate cancer screening, and Nicotine Dependence Treatment.

Preventive Care. To the extent required by PPACA, preventive care (with no cost-sharing) when preventive care is provided by Participating Providers.

Preventive Care. Preventive care means care and services to avert disease/illness and/or its consequences. There are three (3) levels of preventive care: 1) primary, such as immunizations, aimed at preventing disease; 2) secondary, such as disease screening programs aimed at early detection of disease; and 3) tertiary, such as physical therapy, aimed at restoring function after the disease has occurred. Commonly, the term "preventive care" is used to designate prevention and early detection programs rather than restorative programs. The following preventive services are also included in the managed care Benefit Package. These preventive services are essential for promoting wellness and preventing illness. MCOs must offer the following: - General health education classes. - Pneumonia and influenza immunizations for at risk populations. - Smoking cessation classes, with targeted outreach for adolescents and pregnant women. - Childbirth education classes. - Parenting classes covering topics such as bathing, feeding, injury prevention, sleeping, illness prevention, steps to follow in an emergency, growth and development, discipline, signs of illness, etc.

Preventive Care. The Plan does not provide Benefits for preventive care and well-care services, unless otherwise stated in this Agreement in Sections 4.B and 2.H.

Preventive Care. Pediatric No Copay No Copay Adult No Copay No Copay Vision No Copay Covered once every 24 months No Copay Covered once every 24 months Hearing No Copay Screening part of physical exam No Copay Screening part of physical exam Gynecological No Copay No Copay Medical Office Visit $20 Copay $20 Copay Outpatient PT/OT/ST/Chiro. $20 Copay 60 Combined Days per calendar year per member $20 Copay 60 Combined Days per calendar year per member Allergy Services $20 Copay for office visits and testing No copay for injections $20 Copay for office visits and testing No copay for injections Inpatient Medical Services $200 Hospital Admission Copay $200 Hospital Admission Copay Surgery Fees Inpatient: $200 Hospital Admission Copay Outpatient: $100 Copay Inpatient: $200 Hospital Admission Copay Outpatient: $100 Copay Office Surgery $20 Copay $20 Copay Outpatient MH/SA $20 Copay $20 Copay Emergency Room $75 Copay (waived if admitted) Sudden & Serious Guidelines $75 Copay (waived if admitted) Sudden & Serious Guidelines Urgent Care $25 Copay $25 Copay Ambulance Covered Covered General/Medical/Surgical Maternity (Semi-private) Pre-cert only for Out-of-network $200 Hospital Admission Copay Pre-cert only for Out-of-network $200 Hospital Admission Copay Ancillary Services Medication, Supplies $200 Hospital Admission Copay $200 Hospital Admission Copay Psychiatric $200 Hospital Admission Copay Unlimited days $200 Hospital Admission Copay Unlimited days Substance Abuse/Detox $200 Hospital Admission Copay Unlimited days $200 Hospital Admission Copay Unlimited days Skilled Nursing/ Rehabilitation Facility $200 Hospital Admission Copay Covered up to 180 days per calendar year $200 Hospital Admission Copay Covered up to 180 days per calendar year Hospice $200 Hospital Admission Copay $200 Hospital Admission Copay Outpatient Surgery Facility Charges (Prior Authorization Required) $100 Copay (Prior Authorization Required) $100 Copay Diagnostic Lab & X-ray Covered Covered Pre-Admission Testing Covered Covered Durable Medical Equipment Covered Covered Prosthetics Covered Covered Home Health Care Unlimited days (Prior Authorization Required) Unlimited days (Prior Authorization Required) Prescriptions $5/$20/$35 to unlimited maximum Three Tier Formulary RX Rider $5/$20/$35 to unlimited maximum Three Tier Formulary RX Rider Costshares Deductible - $2,000/$4,000 Coinsurance - 100% after plan deductible met for in network services $4,000/$8,000 out of pocket maximum Coinsurance - 80% after plan ...

Preventive Care. Preventive Care services include outpatient services and office services. Screenings and other services are covered as Preventive Care for adults and children with no current symptoms or prior history of a medical condition associated with that screening or service. Members who have current symptoms or have been diagnosed with a medical condition are not considered to require preventive care for that condition but instead benefits will be considered under the diagnostic services benefit. Preventive care services in this section shall meet requirements as determined by federal and state law. Many preventive care services are covered by your policy with no Deductible, Copayments or Coinsurance from the Member when provided by an In-Network Provider. That means Alliant pays 100% of the allowed amount. These services fall under four broad categories as shown below:

Preventive Care. PTO time may be used for preventive health and dental 18 care.