Medically Necessary Treatment definition

Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which:

Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which

Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which i. is required for the medical management of illness or injury suffered by the insured;

Examples of Medically Necessary Treatment in a sentence

• Subject to the foregoing, the Company may determine that a particular claim, benefit, Treatment or diagnosis occurring under or relating to this insurance may be placed under the Company’s “Patient Advocacy” program to ensure that Medically Necessary Treatment and supplies are provided in the most cost-effective manner.

• Emergency Medical Evacuation: Your evacuation because Your medical condition warrants immediate transportation from the medical facility where You are located to the nearest adequate medical facility where Medically Necessary Treatment can be obtained.

• Such recommendations will be made with input from the Insured Person and/or the Insured Person's guardians, Relatives, Treating Physicians and/or other healthcare providers, and will be made only when it can be reasonably demonstrated that the Medically Necessary Treatment and/or supplies can be provided in a more cost-effective manner to the Company and/or the Insured Person.

• Such recommendations will be made with input from the Insured Person and/or the Insured Person's guardians, Relatives, treating Physicians and/or other healthcare providers, and will be made only when it can be reasonably demonstrated that the Medically Necessary Treatment and/or supplies can be provided in a more cost-effective manner to the Company and/or the Insured Person.

• Some cover states “Full Refund” and this means that Eligible claims are covered up to the annual maximum Group Plan limit, after any deduction of any Excess or Co-Insurance or similar condition, if Reasonable and Customary Charges for Medically Necessary Treatment are incurred.

More Definitions of Medically Necessary Treatment

Medically Necessary Treatment means any treatment, test, medication, or stay in Hospital or part of stay in Hospital which• Is required for the medical management of the Illness orInjury suffered by the Insured Person;• Must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration or intensity.• Must have been prescribed by a Medical Practitioner.• Must conform to the professional standards widely accepted in international medical practice or by the medical community in India.

Medically Necessary Treatment means treatment recommended or ordered by a Colorado licensed health-care provider acting within the scope of the health-care provider’s license.

Medically Necessary Treatment means those health ser- vices for a compensable injury that are reasonable and necessary for the diagnosis and to cure or relieve a condition consistent with any applicable treatment guidelines in this chapter. If ss. DWD

Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which • is required for the medical management of the illness or injury suffered by the insured; • must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration, or intensity; • must have been prescribed by a medical practitioner, • must conform to the professional standards widely accepted in international medical practice or by the medical community in India.

Medically Necessary Treatment. Medically necessary treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which: i) is required for the medical management of the illness or injury suffered by the insured; ii) must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration, or intensity; iii) must have been prescribed by a medical practitioner; iv) must conform to the professional standards widely accepted in international medical practice or by the medical community in India Material Misrepresentation shall mean an act of intentional hiding or fabrication of a material fact which, if known to the other party, could have terminated, or significantly altered the basis of a contract, deal, or transaction. Medical Practitioner/Officer means a person who holds a valid registration from the medical council of any state of India and is thereby entitled to practice medicine within its jurisdiction, acting within the scope and jurisdiction of his/her license.

Medically Necessary Treatment means those health services for a compensable injury that are reasonable and necessary for the diagnosis and to cure or relieve a condition consistent with any applicable treatment guidelines in this chapter. If ss. DWD 81.04 to 81.13 do not apply, the treatment must be reasonable and necessary for the diagnosis and to cure or relieve a condition consistent with the current accepted standards of practice within the scope of the provider’s license or certification.

Medically Necessary Treatment means any treatment, tests, medication, or stay in hospital or part of a stay in hospital which i. is required for the medical management of the illness or injury suffered by the insured; ii. must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration, or intensity; iii. must have been prescribed by a Medical Practitioner; iv. must conform to the professional standards widely accepted in international medical practice or by the medical community in India Medical Practitioner means a person who holds a valid registration from the Medical Council of any State or Medical Council of India or Council for Indian Medicine or for Homeopathy set up by the Government of India or a State Government and is thereby entitled to practice medicine within its jurisdiction; and is acting within its scope and jurisdiction of license The term Medical Practitioner would include physician, specialist, anaesthetist and surgeon but would exclude You and Your Immediate Family. “Immediate Family would comprise of Your spouse, children, brother(s), sister(s) and parent(s). Network Provider means Hospitals or health care providers enlisted by an insurer, TPA or jointly by an Insurer and TPA to provide medical services to an insured by a cashless facility New Born Baby New born baby means baby born during the Policy Period and is aged upto 90 days. Non-Network Provider means any Hospital, day care centre or other provider that is not part of the network Notification of Claim means the process of intimating a claim to the insurer or TPA through any of the recognized modes of communication OPD treatment means the one in which the Insured visits a clinic / hospital or associated facility like a consultation room for diagnosis and treatment based on the advice of a Medical Practitioner. The Insured is not admitted as a day care or in-patient.