Telemedicine. An optional telemedicine program will be available for health and mental health services, subject to applicable office visit copays and deductibles. See Appendix G-2.
Telemedicine. A. Coverage shall be provided for the use of interactive audio, video, or other electronic media for the purpose of consultation, diagnosis, or treatment of the patient.
Telemedicine. The practice of telemedicine, by a duly licensed Provider, by means of audio, video or data communications (to include secured electronic mail) is a covered benefit. The use of standard telephone, facsimile transmissions, unsecured electronic mail, or a combination thereof does not constitute telemedicine service and is not a covered benefit. The use of telemedicine may substitute for a face-to-face “hands on” encounter for consultation. To be eligible for payment, interactive audio and video telecommunications must be used, permitting real-time communications between the distant Provider and the Member. As a condition of payment, the Member must be present and participating. The amount of payment for the professional service provided via telemedicine by the Provider at the distant site is based on the negotiated rate or current MAC for the service provided. TRANSPLANT ORGAN/TISSUE/BONE MARROW Alliant’s transplant network facilities are independent of our Preferred Provider network. Transplants that are provided at a non- Alliant Transplant Network Facility, even if the non-Alliant Transplant Network Facility is a participating provider, are not covered. Covered Services include certain services and supplies not otherwise excluded in this Certificate and rendered in association with a covered transplant, including pre-transplant procedures such as organ harvesting (donor costs), post-operative care (including anti-rejection drug treatment, if Prescription Drugs are covered under the Contract) and transplant related chemotherapy for cancer limited as follows. A transplant means a procedure or series of procedures by which an organ or tissue is either: • Removed from the body of one person (called a donor) and implanted in the body of another person (called a recipient); or • Removed from and replaced in the same person’s body (called a self-donor).
Telemedicine. An optional telemedicine program will be available for health and mental health services, subject to applicable office visit copays and deductibles. See Appendix K-2. Health Maintenance Organization (HMO). As an alternative to the State Health Plan, enrollment in HMOs may be offered to those employees residing in areas where qualified licensed HMOs are in operation. HMO Coverage information is provided in Appendix K-2.
Telemedicine. If Provider has been approved by Health Plan to provide services through telemedicine, Provider shall have protocols to prevent fraud and abuse.
Telemedicine. If serving as either an originating or distant site for telemedicine services, PROVIDER shall comply with telemedicine policy at OAC 317:30-3-27 and attests that:
Telemedicine. 5.1.1 This Service provides 24/7 on-demand access to a national network of Board-Certified Nurses, Physicians and Licensed Therapists for assessment, advice and diagnosis of a wide range of common conditions, regardless of location.
Telemedicine. The use of electronic information and communication technology to deliver healthcare services, including without limitation the assessment, diagnosis, consultation, treatment, education, care management, and self-management of a patient. It includes store-and-forward technology and remote patient monitoring. The following activities will not be considered a reportable encounter when delivered to a member of the PASSE:
Telemedicine. The practice of telemedicine, by a duly licensed Provider, by means of audio, video or data communications (to includesecured electronic mail) is a covered benefit. Telemedicine is a form of telehealth which is the delivery of clinical health care services by means of real time two-way audio, visual, or other telecommunications or electronic communications, including the application of secure video conferencing or store and forward transfer technology to provide or support health care delivery, which facilitate the assessment, diagnosis, consultation, treatment, education, care management, and self- management of a patient's health care by a health care provider practicing within his or her scope of practice as would be practiced in-person with a patient, and legally allowed to practice in this state, while such patient is at anoriginating site and the health care provider is at a distant site. The use of telemedicine may substitute for a face-to-face “hands on” encounter for consultation. To be eligible for payment, interactive audio telecommunications must be used, permitting real-time communications between the distant Provider and the Member. As a condition of payment, the Member must be present and participating. The amount of payment for the professional service provided via telemedicine by the Provider at the distant site is based on thenegotiated rate or current MAC for the service provided. TRANSPLANT ORGAN/TISSUE/BONE MARROW Alliant’s transplant network facilities are independent of Our Health Maintenance Organization network. Transplants that are provided at a non-Alliant Transplant Network Facility, even if the non-Alliant Transplant Network Facility is a participating provider, are not covered. Covered Services include certain services and supplies not otherwise excluded in this Certificate and rendered in associationwith a covered transplant, including pre-transplant procedures such as organ harvesting (donor costs), post-operative care (including anti-rejection drug treatment, if Prescription Drugs are covered under the Contract) and transplant related chemotherapy for cancer limited as follows. A transplant means a procedure or series of procedures by which an organ or tissue is either: • Removed from the body of one person (called a donor) and implanted in the body of another person (called a recipient); or • Removed from and replaced in the same person’s body (called a self-donor). A covered transplant means a medically appropriate transp...
Telemedicine. The practice of health care delivery by a practitioner who is located at a site other than the site where the patient is located for the purposes of evaluation, diagnosis, or recommendation of treatment.
