Primary Care Provider Services Sample Clauses

Primary Care Provider Services. KFHPWA recommends that Members select a Network Personal Physician when enrolling. One Network Personal Physician may be selected for an entire family, or a different Network Personal Physician may be selected for each family member. For information on how to select or change Network Personal Physicians, and for a list of participating Network Personal Physicians, call Xxxxxx Permanente Member Services at (000) 000-0000 in the Seattle area, or toll-free in Washington at 0-000-000-0000 or by accessing the KFHPWA website at xxx.xx.xxx/xx. The change will be made within 24 hours of the receipt of the request if the selected physician’s caseload permits. If a Network Personal Physician accepting new Members is not available in your area, contact Xxxxxx Permanente Member Services, who will ensure you have access to a Network Personal Physician by contacting a physician’s office to request they accept new Members. In the case that the Member’s Network Personal Physician no longer participates in KFHPWA’s network, the Member will be provided access to the Network Personal Physician for up to 60 days following a written notice offering the Member a selection of new Network Personal Physicians from which to choose.
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Primary Care Provider Services. KFHPWA recommends that Members select a Network Personal Physician when enrolling. One personal physician may be selected for an entire family, or a different personal physician may be selected for each family member. For information on how to select or change Network Personal Physicians, and for a list of participating personal physicians call Xxxxxx Permanente Member Services at (000) 000-0000 in the Seattle area, or toll-free in Washington at 0-000-000-0000 or by accessing the KFHPWA website at xxx.xx.xxx/xx. The change will be made within 24 hours of the receipt of the request if the selected physician’s caseload permits. If a personal physician accepting new Members is not available in your area, contact Xxxxxx Permanente Member Services, who will ensure you have access to a personal physician by contacting a physician’s office to request they accept new Members. To find a personal physician, call Member Services or access the KFHPWA website at xxx.xx.xxx/xx to view physician profiles. Information available online includes each physician’s location, education, credentials, and specialties. For your personal physician, choose from these specialties: • Family medicine • Adult medicine/internal medicine • Pediatrics/adolescent medicine (for children up to 18) Be sure to check that the physician you are considering is accepting new patients. If your choice does not feel right after a few visits, you can change your personal physician at any time, for any reason. If you don’t choose a physician when you first become a KFHPWA member, we will match you with a physician to make sure you have one assigned to you if you get sick or injured. In the case that the Member’s personal physician no longer participates in KFHPWA’s network, the Member will be provided access to the personal physician for up to 60 days following a written notice offering the Member a selection of new personal physicians from which to choose.
Primary Care Provider Services. Group Health recommends that Members select a Network Personal Physician when enrolling. One personal physician may be selected for an entire family, or a different personal physician may be selected for each family member. For information on how to select or change Network Personal Physicians, and for a list of participating personal physicians, call the Group Health Customer Service Center at (206) 901- 4636 in the Seattle area, or toll-free in Washington at 1-000-000-0000 or by accessing the Group Health website at xxx.xxx.xxx. The change will be made within 24 hours of the receipt of the request if the selected physician’s caseload permits. If a personal physician accepting new Members is not available in your area, contact the Group Health Customer Service Center, who will ensure you have access to a personal physician by contacting a physician’s office to request they accept new Members. In the case that the Member’s personal physician no longer participates in Group Health’s network, the Member will be provided access to the personal physician for up to 60 days following a written notice offering the Member a selection of new personal physicians from which to choose.
Primary Care Provider Services. In Provider’s capacity as a Primary Care Provider, Provider shall provide Covered Services to Members who have selected or been assigned to Provider as their Primary Care Provider, including the following:

Related to Primary Care Provider Services

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Outpatient Services The following services are covered only at the Primary Care Provider’s office[selected by a [Member], or elsewhere [upon prior written Referral by a [Member]'s Primary Care Provider ]:

  • Inpatient Services Hospital This plan covers services provided while inpatient in a general or specialty hospital including, but not limited to the following: • anesthesia; • diagnostic tests and lab services; • dialysis; • drugs; • intensive care/coronary care; • nursing care; • physical, occupational, speech and respiratory therapies; • physician’s services while hospitalized; • radiation therapy; • surgery related services; and • room and board. Notify us if you are admitted from the emergency room to a hospital that is not in our network. Our Customer Service Department can assist you with any questions you may have about your coverage. Rehabilitation Facility This plan covers rehabilitation services received in a general hospital or specialty hospital. Coverage is limited to the number of days shown in the Summary of Medical Benefits.

  • Educational Services Any service or supply for education, training or retraining services or testing including: special education, remedial education; cognitive remediation; wilderness/outdoor treatment, therapy or adventure programs (whether or not the program is part of a Residential Treatment facility or otherwise licensed institution); job training or job hardening programs; educational services and schooling or any such related or similar program including therapeutic programs within a school setting.

  • Our Services As insurance intermediaries we generally act as the agent of our client. We are subject to the law of agency, which imposes various duties on us. However, in certain circumstances we may act for and owe duties of care to other parties, including the insurer. We will advise you when these circumstances occur, so you will be aware of any possible conflict of interest. We offer a wide range of products and services which may include: • Offering you a single or range of products from which to choose a product that suits your insurance needs; • Advising you on your insurance needs; • Arranging suitable insurance cover with insurers to meet your requirements; • Helping you with any subsequent changes to your insurance you have to make; • Providing all reasonable assistance with any claim you make. In some cases, we act for insurers under a delegated authority agreement and can enter into insurance policies, issue policy documentation and/or handle or settle claims on their behalf. Where we act on behalf of the insurer and not you, we will notify you accordingly and in relation to claims we will advise you of this fact when you notify us of a claim. Notwithstanding this, we endeavour to always act in your best interest. As intermediaries, we offer a wide range of insurance products and have access to many leading insurance companies and the Lloyd’s market. Depending on the type of cover you require and where we have provided advice based on a personal recommendation, we will offer you a policy from either: • a single insurer; • a limited range of insurers; or • a fair analysis that is representative of the insurance market. We will advise you separately as to which of these apply before we arrange your policy and where we have not undertaken a fair analysis of the market, we will provide you with a list of insurers considered. Jensten Retail Consumer Client TOBA Version 1.0 Nov 2021 Policies taken out, amended, or renewed through our online service will be on a non-advised basis. This means sufficient information will be provided for you to make an informed decision about any product purchased online and you should therefore ensure that any policy provides the cover you require and is suitable for your needs. For Motor Vehicle insurance we require customers to pay an additional charge for our claims service – Coversure Claimsline (details are provided in a separate document). This is a “one-stop” service that enables us to assist you with any claim you may incur. The cost of the Coversure Claimsline services will be included in the price quoted to you for the Motor Vehicle insurance and shown separately in your documentation. By purchasing motor insurance from us, you authorise Coversure and its agents to take all necessary actions to handle your claim including dealing with your insurers, third parties and their insurers and other service suppliers on your behalf. For all other policies, including optional additional products and premium finance (if relevant), before the insurance contract is concluded and after we have assessed your demands & needs, we will provide you with advice and make a personal recommendation. This will include sufficient information to enable you to make an informed decision about the policy that we have recommended, together with a quotation which will itemise any fees that are payable in addition to the premium. This documentation will also include a statement of your demands and needs. You should read this carefully as it will explain reasons for making the recommendation we have made.

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