EXPERIMENTAL OR INVESTIGATIONAL definition

EXPERIMENTAL OR INVESTIGATIONAL means any healthcare service that has progressed to limited human application, but has not been recognized as proven and effective in clinical medicine. See Experimental or Investigational Services in Section 3 for a more detailed description of the type of healthcare services we consider experimental or investigational.
EXPERIMENTAL OR INVESTIGATIONAL means that we determine the Service is:
EXPERIMENTAL OR INVESTIGATIONAL means the use of any treatment, procedure, facility, equipment, drug, device, or supply not accepted as standard medical treatment of the condition being treated or any of such items requiring Federal or other governmental agency approval not granted at the time services were provided.

Examples of EXPERIMENTAL OR INVESTIGATIONAL in a sentence

  • EXPERIMENTAL OR INVESTIGATIONAL: The term Experimental or Investigational means any drug, biologic, device, diagnostic, product, equipment, procedure, treatment, service or supply used in or directly related to the diagnosis, evaluation, or treatment of a disease, injury, illness, or other health condition which Anthem BCBS determines in its sole discretion to be Experimental or Investigational.

  • EXPERIMENTAL OR INVESTIGATIONAL SERVICE(S) means the medical, surgical, diagnostic, psychiatric, mental health, substance-related and addictive disorders or other health care services, technologies, supplies, treatments, procedures, drug therapies, medications or devices that, at the time the Company makes a determination regarding coverage in a particular case, are determined to be any of the following: 1.

  • EXPERIMENTAL OR INVESTIGATIONAL PROCEDURESProcedures which are Experimental or Investigational in nature as defined in DEFINITIONS are not covered.

  • Environmental medicine and clinical ecology encompass the diagnosis or treatment of environmental illness, including, but not limited to: chemical sensitivity or toxicity from past or continued exposure to atmospheric contaminants, pesticides, herbicides, fungi, molds, or foods exposed to atmospheric or environmental contaminants.O. EXPERIMENTAL OR INVESTIGATIONAL PROCEDURESProcedures which are Experimental or Investigational in nature as defined in DEFINITIONS are not covered.

  • EXPERIMENTAL OR INVESTIGATIONAL, OR UNPROVEN CHARGES shall mean charges for treatments, procedures, devices or drugs which the Medical Vendor, in the exercise of its discretion, determines are experimental, investigative, or done primarily for research.


More Definitions of EXPERIMENTAL OR INVESTIGATIONAL

EXPERIMENTAL OR INVESTIGATIONAL means a service that is determined to be experimental or investigational. In determining whether services are Experimental or Investigational, the Company will consider the following:
EXPERIMENTAL OR INVESTIGATIONAL means, except as provided for under any clinical trials benefit provision, a drug, a device, a procedure, or treatment where:
EXPERIMENTAL OR INVESTIGATIONAL means any procedure, treatment, facility, supply, device, or drug that:
EXPERIMENTAL OR INVESTIGATIONAL means any portion or part of any procedure, device, drug, treatment, or medicine, or the use thereof, which falls within any of the following categories:
EXPERIMENTAL OR INVESTIGATIONAL means that it is determined that the Service is:
EXPERIMENTAL OR INVESTIGATIONAL means that the Claims Administrator determines the Service is:
EXPERIMENTAL OR INVESTIGATIONAL means any treatments, procedures, devices, drugs or medicines for which one or more of the following is true: