PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.
PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3.
PREVENTIVE CARE SERVICES means care that is provided to an individual to prevent disease, diagnose disease or promote good health. The Contractor shall provide Hospice Care, provided in a facility or in the home, is a covered service. Subject to the limitations and definitions set forth in Indiana Code and in the list of covered benefits. The Contractor shall provide Diabetic Supplies Coverage. The Contractor shall cover diabetic supplies in alignment with FSSA’s Preferred Diabetic Supply List (PDSL). The Contractor shall configure its claims payment system to approve the diabetic supplies of FSSA’s contracted preferred vendors to supply blood glucose monitors and diabetic test strips for all IHCP enrollees. The Contractor shall adjudicate diabetic supplies through their PBM’s point of sale system to ensure that NDCs are on the claim. The Contractor shall require prior authorization for all blood glucose monitors and diabetic test strips not on the PDSL.
Examples of PREVENTIVE CARE SERVICES in a sentence
However, the Plan does not pay for X-rays and tests performed as part of a routine physical checkup, unless specifically listed in the PREVENTIVE CARE SERVICES FOR ADULTS AND CHILDREN section.
PREVENTIVE CARE SERVICES FOR ADULTS AND CHILDRENThis section describes the covered services and supplies available under Your plan when You are well.
PREVENTIVE CARE SERVICES FOR ADULTS AND CHILDRENThis section describes the covered services and supplies available under Your Benefit Plan when You are well.
ANY PREVENTIVE CARE SERVICES OR SUPPLIES A [MEMBER] RECEIVES AS A [NETWORK] SERVICE OR SUPPLY WILL REDUCE THE PREVENTIVE CARE BENEFIT AVAILABLE AS A [NON-NETWORK] COVERED CHARGE.
PREVENTIVE CARE SERVICES Preventive Care Services means care which is rendered by a Provider to prevent future health problems for a Member who does not exhibit any current symptoms.
More Definitions of PREVENTIVE CARE SERVICES
PREVENTIVE CARE SERVICES means covered health care services performed to prevent the occurrence of disease as defined by PPACA. See the Preventive Care Services and Early Detection Services section.
PREVENTIVE CARE SERVICES means covered health care services performed to prevent the occurrence of disease as defined by PPACA. See Preventive Care Services and Early Detection Services section. Subscriber Agreement PROGRAM means a collection of covered health care services, billed by one provider, which can be carried out in many settings and by different providers. This agreement does NOT cover programs unless specifically listed as covered. See Covered Health Care Services to find out if a program is covered under this agreement.
PREVENTIVE CARE SERVICES section of the EOC has been modified. Language has been added to clarify that when an individual satisfies medically appropriate criteria for a covered Service or treatment, we will cover that Service regardless of sex assigned at birth, gender identity, or gender of the individual recorded by us. The thermography exclusion under “Acupuncture Services Exclusions” and Naturopathic Medicine Exclusions” has been removed due to redundancy. This bullet is included under the list of laboratory Services that are excluded within the same sections. The “Outpatient Services for Chemical Dependency” section of the EOC has been modified to describe under what circumstances in-home chemical dependency is covered, for clarity and consistency with how we speak to in-home mental health Services. The “Chemical Dependency Services,” “Mental Health Services,” and “Skilled Nursing Facility Services” sections of the EOC have been modified to clarify that drugs prescribed as part of the inpatient plan of care are covered when administered by medical personnel in the facility.
PREVENTIVE CARE SERVICES means covered health care services performed to prevent the occurrence of disease. For the purpose of coverage under this agreement preventive care services are limited to: • Adult preventive office visit and certain adult immunizations; • Pediatric preventive office visits and pediatric immunizations; • Travel immunizations; and • Certain cancer screenings. See Section 3.30 - Preventive and Early Detection Services and Section 3.24 – Office Visits for details. See the Summary of Medical Benefits for benefit limits and level of coverage. PROGRAM means a collection of covered health care services, billed by a single provider, which can be administered in a variety of settings and by different providers. This agreement does NOT cover programs unless specifically listed as covered. See Section 3.0 - Covered Health Care Services to determine if a program is covered under this agreement.
PREVENTIVE CARE SERVICES means the following, as further defined and interpreted by appropriate statutory, regulatory, and agency guidance.