Examples of Medically Necessary in a sentence
Services performed in a Special Care Unit when it is Medically Necessary that such services be performed in such unit; 4.
IN-HOSPITAL MEDICAL SERVICE Benefits will be paid for a licensed medical doctor or Behavioral Health Provider’s visits to a Member during a Medically Necessary Admission for treatment of a condition other than that for which Surgical Service or obstetrical service is required as follows: 1.
Applied Behavioral Analysis (ABA) therapy unless Medically Necessary for the treatment of Autism Spectrum Disorder; 2.
The Group Health Plan will pay the base rate and mileage for a Medically Necessary ambulance transport to the nearest medically appropriate facility.
All requirements of the above-referenced definition must be met in order for a health care service or Behavioral Health Service to be deemed Medically Necessary.