Prescribed Minimum Benefit condition definition

Prescribed Minimum Benefit condition means a condition contemplated in the Diagnosis and Treatment Pairs, listed in Annexure A of the Regulations, or any emergency medical condition.
Prescribed Minimum Benefit condition means a condition contemplated in the Diagnosis and Treatment Pairs listed in Annexure A or any emergency medical condition.’

Examples of Prescribed Minimum Benefit condition in a sentence

  • If a Beneficiary involuntarily obtains diagnosis, treatment ,and care in respect of a Prescribed Minimum Benefit condition from a provider other than a DSP, the Scheme will pay 100% of the cost in relation to that Prescribed Minimum Benefit conditions.

  • She decides to change to the generic so that the full cost of the medicine is covered.Because asthma is a Prescribed Minimum Benefit condition, she will receive treatment guidelines with her letter from CMM.

  • There is no requirement to own Bendigo and Adelaide Bank sharesand there is no qualification period to qualify to utilise the benefits.

  • Prescribed Minimum Benefits voluntarily obtained from other providersIf a beneficiary voluntarily obtains diagnosis, treatment and care in respect of a Prescribed Minimum Benefit condition subject to clinical protocols and medical appropriateness, from any service provider the benefit payable in respect of such service is subject to: No co-payment; benefits are payable subject to clinical protocols.

  • If a beneficiary involuntarily obtains diagnosis, treatment and care in respect of a Prescribed Minimum Benefit condition from any service provider, the Medical Scheme will cover the cost subject to clinical protocols and medically appropriate.

  • The Member authorises Cape Medical Plan to obtain all clinical notes, treatment plans, investigation results, diagnostic results and other information Cape Medical Plan reasonably considers necessary to support the conclusion, identification and treatment interventions of any diagnosis of a Prescribed Minimum Benefit condition from the practitioner making the diagnosis for the purposes as set out in 3.3 above, before authorisation.

  • However, a co- payment for a Prescribed Minimum Benefit condition cannot be paid from your Savings Account.

  • An application form needs to be completed when applying for a new Prescribed Minimum Benefit condition.

  • Culture is not just about ethnicity - nor solely about our own bicultural context, although this has necessarily been the starting point for broader considerations of culture in Aotearoa/New Zealand.

  • The Member authorises Cape Medical Plan to obtain all clinical notes, treatment plans, investigation results, diagnostic results and other information Cape Medical Plan reasonably considers necessary to support the conclusion, identification and treatment interventions of any diagnosis of a Prescribed Minimum Benefit condition from the practitioner making the diagnosis for the purposes as set out in 4.3 above, before authorisation.

Related to Prescribed Minimum Benefit condition

  • Disability Support Pension means the pension available under the Commonwealth pension scheme to provide income security for persons with a disability as provided under the Social Security Act 1991, as amended from time to time, or any successor to that scheme.

  • Foreign Benefit Event means, with respect to any Foreign Pension Plan, (a) the existence of unfunded liabilities in excess of the amount permitted under any applicable Law or in excess of the amount that would be permitted absent a waiver from applicable Governmental Authority or (b) the failure to make the required contributions or payments, under any applicable Law, on or before the due date for such contributions or payments.