High Medical Costs definition

High Medical Costs means: To include annual out of pocket costs at the hospital that exceed the lesser of 10% of the patient’s current family income or the family income in the prior 12 months.
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High Medical Costs means the annual out-of-pocket costs of a patient whose family income exceeds the Organization’s thresholds for financial assistance. These costs are considered if they are either: (i) incurred by the patient at the Organization’s hospital that exceed the lesser of the patient’s current family income or family income in the prior twelve (12) months, or (ii) out-of-pocket medical expenses that exceed ten percent (10%) of the patient’s family income, if the patient provides documentation of the patient’s medical expenses paid by the patient or the patient’s family in the prior twelve (12) months.
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High Medical Costs means a person whose family income does not exceed 350% of the Federal Poverty Level if the patient does not receive a discounted rate from the hospital as a result of his or her third-party coverage. For the purposes of this policy high medical cost is defined as:
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Examples of High Medical Costs in a sentence

  • Each bid shall specify whether it is for an on-peak weekend on-peak, weekday on-peak, off-peak, or 24-hour period.

  • Both Self-Pay Patients and Patients with High Medical Costs are eligible to apply for the Discounted Payment Program.

  • Insured patients with High Medical Costs and incomes at or below 300% of the federal poverty level, provided that patient does not receive a discounted rate from the hospital as a result of his or her third-party coverage.

  • EligibilityEligibility for charity care will be considered for those individuals who are unable to pay for their care and are uninsured and ineligible for any government health care program or for those patients that have High Medical Costs.

  • Patients with High Medical Costs also must provide documentation of medical expenses paid by such patients or their families in the prior 12 months.

  • For insured patients with High Medical Costs, the patient will be required to cooperate with any insurance claim submissions.The Financial Assistance Program eligibility documentation may be initiated by Patient Access/Admitting, Business Office, or a Financial Counselor.

  • If a student reports an incident to a FSL staff member, or if a staff member has reason to believe that a hazing incident has occurred, the staff member will engage in the following response protocol: 1.

  • During the period beginning on the effective date and lasting until the expiration date, the permittee shall monitor the treatment works' final sludge at Station Number 2PY00029586, and report to the Ohio EPA in accordance with the following table.

  • A patient is eligible for financial assistance under this Policy if (1) the patient’s family income is equal to or less than 350% of the applicable FPG and (2) the patient is either an Uninsured Patient or a Patient with High Medical Costs.

  • An emergency physician, as defined in Health and Safety Code Section 127450, who provides emergency medical services in a hospital that provides emergency care, is also required by law to provide discounts to Uninsured Patients or Patients with High Medical Costs who are at or below 350% of the applicable FPG.


More Definitions of High Medical Costs

High Medical Costs means any of the following: (a) annual out-of-pocket costs incurred by the individual at SACH that exceed 10% of the patient’s family income in the prior 12 months: (b) annual out-of-pocket expenses that exceed 10% of the patient’s family income, if the patient provides documentation of the patient’s medical expenses paid by the patient or the patient’s family in the prior 12 months: (c) a
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High Medical Costs means: (1) annual out of pocket costs incurred by the individual at RCH exceed 10% of the patient’s family income for the prior 12 months; (2) annual out of pocket expenses that exceed 10% of the patient’s family
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High Medical Costs means any of the following, as applied to the date(s) of service:
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High Medical Costs means any of the following:
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Related to High Medical Costs

  • Medical care means amounts paid for:

  • Emergency medical care means such medical procedures as:

  • Medical history means information regarding any:

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Direct medical education costs means costs directly associated with the medical education of interns and residents or other medical education programs, such as a nursing education program or allied health programs, conducted in an outpatient setting, that qualify for payment as medical education costs under the Medicare program. The amount of direct medical education costs is determined from the hospital base-year cost reports and is inflated in determining the direct medical education rate.

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • DEVELOPMENTAL SERVICES means therapies, typically provided by a qualified professional using a treatment plan, that are intended to lessen deficiencies in normal age appropriate function. The therapies generally are meant to limit deficiencies related to injury or disease that have been present since birth. This is true even if the deficiency was detected during a later developmental stage. The deficiency may be the result of injury or disease during the developmental period. Developmental services are applied for sustained periods of time to promote acceleration in developmentally related functional capacity. This plan covers developmental services unless specifically listed as not covered.

  • Medical Expenses means those expenses that an Insured Person has necessarily and actually incurred for medical treatment on account of Illness or Accident on the advice of a Medical Practitioner, as long as these are no more than would have been payable if the Insured Person had not been insured and no more than other hospitals or doctors in the same locality would have charged for the same medical treatment.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. Hospital does not mean: • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • Diagnostic Services means services provided for the purpose of determining the nature and cause of a condition, ill- ness, or injury.

  • Emergency medical technician means a person who is either an EMT-I, EMT-II, or EMT-P (paramedic), and possesses a valid certificate or license in accordance with the standards of Division 2.5 (commencing with Section 1797) of the Health and Safety Code.

  • Emergency medical care provider means an individual who has been trained to provide emergency and nonemergency medical care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic, paramedic specialist or other certification levels recognized by the department before 1984 and who has been issued a certificate by the department.

  • Medical control means a person who provides medical supervision to an emergency medical service provider.

  • Medical home means a team approach to providing health care that originates in a primary care setting; fosters a partnership among the patient, the personal provider, and other health care professionals, and where appropriate, the patient’s family; utilizes the partnership to access and integrate all medical and nonmedical health-related services across all elements of the health care system and the patient’s community as needed by the patient and the patient’s family to achieve maximum health potential; maintains a centralized, comprehensive record of all health-related services to promote continuity of care; and has all of the characteristics specified in section 135.158.

  • Emergency medical services or “EMS” means an integrated medical care delivery system to provide emergency and nonemergency medical care at the scene or during out-of-hospital patient transportation in an ambulance.

  • Authorized medical physicist means an individual who:

  • Clinic means a facility that provides hemodialysis or peritoneal dialysis services to patients suffering from kidney disease.

  • OASIS means the Open Access Same-Time Information System required by FERC for the posting of market and transmission data on the Internet websites of PJM and NYISO.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Medical cannabis dispensary means an organization issued a

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • small and medium-sized enterprises or ‘SMEs’ means micro, small and medium-sized enterprises as defined in Article 2 of the Annex to Commission Recommendation 2003/361/EC;

  • Microenterprise means an enterprise which employs fewer than 10 persons and whose annual turnover and/or annual balance sheet total does not exceed EUR 2 million;