Skilled Care Sample Clauses

Skilled Care. Medical care ordered by a physician and requiring the knowledge and training of a licensed registered nurse. Skilled Nursing Facility A medical facility licensed by the state to provide nursing services that require the direction of a physician and nursing supervised by a registered nurse, and that is approved by Medicare or would qualify for Medicare approval if so requested. Sound Natural Tooth Sound natural tooth means a tooth that:  Is organic and formed by the natural development of the body (not manufactured)  Has not been extensively restored  Has not become extensively decayed or involved in periodontal disease  Is not more susceptible to injury than a whole natural tooth Spouse Spouse means:  An individual who is legally married to the subscriber  An individual who is a state registered domestic partner of the subscriber or who meets the requirements for domestic partner coverage under this plan. Subscription Charge The monthly rates we establish as consideration for the benefits offered under this contract. Urgent Care Treatment of unscheduled, drop-in patients who have minor illnesses and injuries. These illnesses or injuries need treatment right away but they are not life-threatening. Examples are high fevers, minor sprains and cuts, and ear, nose and throat infections. Urgent care is provided at a medical facility that is open to the public and has extended hours. Washington Health Benefit Exchange (“The Exchange”) The state authorized entity which determines eligibility to enroll in this plan. We, Us and Our Premera Blue Cross. You and Your A member enrolled in this plan. CONTACT INFORMATION CUSTOMER SERVICE 0000 000xx Xx. S.W. Mountlake Terrace, WA 98043-2124 Toll Free 0-000-000-0000 Toll-Free TDD for the hearing-impaired 0-000-000-0000 XXXXXXX ADDRESS AND CLAIMS SUBMISSION Medical Claims: Premera Blue Cross PO Box 91059 Seattle, WA 98111-9159 Prescription Drug Claims: Express Scripts P.O. Box 747000 Cincinnati, OH 45274-7000 COMPLAINTS AND APPEALS Premera Blue Cross PO Box 91102 Seattle, WA 00000-0000 Fax 0-000-000-0000 CARE MANAGEMENT Premera Blue Cross P.O. Box 91059 Seattle, WA 00000-0000 Fax 0-000-000-0000 Fax 000-000-0000 xxx.xxxxxxx.xxx Teladoc Log on to your account at xxxxxx_xxxxxxx.xxx/premera or call 0-000-000-0000
Sample 1Sample 2Sample 3See All (20)
AutoNDA by SimpleDocs

Related to Skilled Care

  • Skilled Care in a Nursing Facility This plan covers skilled nursing services in a skilled nursing facility if: • the services are prescribed by a physician: • your condition needs skilled nursing services, skilled rehabilitation services or skilled nursing observation; • the services are provided by or supervised by licensed technical or professional medical personnel; and • the services are not custodial care, respite care, day care, or for the purpose of assisting with activities of daily living.

  • Child Care A. Employees employed as of March 1 who meet the following criteria shall be eligible for a lump sum payment each year. Eligible employees may apply for this payment between March 1 and April 15 of each year. Payment shall be made within thirty (30) days of receipt of the completed application. Any application received after April 15 will be considered on a case by case basis and shall not be arbitrarily rejected.

  • Hospice Care If you have a terminal illness and you agree with your physician not to continue with a curative treatment program, this plan covers hospice care services received in your home, in a skilled nursing facility, or in an inpatient facility.

  • Patient Care Resident shall participate in safe, effective, and compassionate patient care, under supervision, commensurate with Resident's level of advancement and responsibility.

  • Urgent Care This plan covers services received at an urgent care center. For other services, such as surgery or diagnostic tests, the amount that you pay is based on the type of service being provided. See Summary of Medical Benefits for details. Follow-up care (such as suture removal or wound care) should be obtained from your primary care provider or specialist.

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

  • 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.

  • Medical Care The Parents must comply with the School Welfare Officer's recommendations which may include a reasonable decision to release the Pupil home or to his / her education guardian when s/he is unwell.

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

  • Dental Care a. Dental Care for Members over age 19 is limited to the following:

Time is Money Join Law Insider Premium to draft better contracts faster.