Common use of Transplant Benefits Clause in Contracts

Transplant Benefits. (a) Medically necessary human-to-human heart transplants shall be a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Review Program set forth in subsection 34.1.a.(4) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human to human heart transplants shall be a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Review Program program set forth in subsection 34.1.a.(41.a.(2) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human to human heart transplants shall be added as a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Utilization Review Program set forth in subsection 34.1.a.(437.1.a.(5) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human heart transplants shall be added as a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Utilization Review Case Management Program set forth in subsection 34.1.a.(41.a.(5) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human to human heart transplants shall be added as a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Pre-Admission Review Contractor and is subject to the terms and conditions of the Pre-Admission Review Program set forth in subsection 34.1.a.(41.a.(5) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human to human heart transplants shall be a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Review Program Utilization Review/Case Management program set forth in subsection 34.1.a.(427.1.a.(5) of this Article, above.

Transplant Benefits. (a1) Medically necessary human-to-human to human heart transplants shall be a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Utilization Review Program set forth in subsection 34.1.a.(4A.1.(d) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human heart transplants shall be a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Review Program Utilization Review/Case Management program set forth in subsection 34.1.a.(423.1.a.(5) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human to human heart transplants shall be a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Review Utilization Review/Case Management Program set forth in subsection 34.1.a.(434.1.a.(5) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human to human heart transplants shall be added as a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Pre-Admission Review Contractor and is subject to the terms and conditions of the Pre-Admission Utilization Review Program program set forth in subsection 34.1.a.(435.1.a.(2) of this Article, above.

Transplant Benefits. (a) Medically necessary human-to-human to human heart transplants shall be a covered benefit under the Basic Plan. The participant must obtain prior authorization from the Utilization Review Contractor and is subject to the terms and conditions of the Pre-Admission Review Program set forth in subsection 34.1.a.(437.1.a.(4) of this Article, above.