Common use of Transplant Services Clause in Contracts

Transplant Services. Benefits are available for tissue and kidney transplants and special transplants. Tissue and kidney transplants Benefits are available for facility and professional services provided in connection with human tissue and kidney transplants when you are the transplant recipient. Benefits include services incident to obtaining the human transplant material from a living donor or a tissue/organ transplant bank. Special transplants Benefits are available for special transplants only if: • The procedure is performed at a special transplant facility contracting with Blue Shield, or if you access this Benefit outside of California, the procedure is performed at a transplant facility designated by Blue Shield; and • You are the recipient of the transplant. Special transplants are: • Human heart transplants; • Human lung transplants; • Human heart and lung transplants in combination; • Human liver transplants; • Human kidney and pancreas transplants in combination; • Human bone marrow transplants, including autologous bone marrow transplantation (ABMT) or autologous peripheral stem cell transplantation used to support high-dose chemotherapy when such treatment is Medically Necessary and is not Experimental or Investigational; • Pediatric human small bowel transplants; and • Pediatric and adult human small bowel and liver transplants in combination.

Transplant Services. Benefits are available for tissue and kidney transplants and special transplants. Tissue and kidney transplants Benefits are available for facility and professional services provided in connection with human tissue and kidney transplants when you are the transplant recipient. Benefits include services incident to obtaining the human transplant material from a living donor or a tissue/organ transplant bank. Special transplants Benefits are available for special transplants only if: •  The procedure is performed at a special transplant facility contracting with Blue Shield, or if you access this Benefit outside of California, the procedure is performed at a transplant facility designated by Blue Shield; and •  You are the recipient of the transplant. Special transplants are: •  Human heart transplants; •  Human lung transplants; •  Human heart and lung transplants in combination; •  Human liver transplants; •  Human kidney and pancreas transplants in combination; •  Human bone marrow transplants, including autologous bone marrow transplantation (ABMT) or autologous peripheral stem cell transplantation used to support high-dose chemotherapy when such treatment is Medically Necessary and is not Experimental or Investigational; •  Pediatric human small bowel transplants; and •  Pediatric and adult human small bowel and liver transplants in combination.