Serious Medical Condition definition
Examples of Serious Medical Condition in a sentence
Intl.SOS will arrange for the air and/or surface transportation and communication for moving the Insured Member when in a Serious Medical Condition to the nearest hospital where appropriate medical care is available.
You can request an expedited external review after receiving a notice of a denied claim only if you meet the requirements stated above for a Standard Review and your Physician certifies you have a Serious Medical Condition, or the claim denial concerns a health care service for which you received Emergency Medical Care and you have not been discharged.
In determining whether a Serious Medical Condition exists, the AMA physician/doctor may consider the Member’s geographical location, the nature of the medical emergency and the local availability of appropriate medical care or facilities.
Your treating Physician should include a statement that confirms you have a Serious Medical Condition.
The payment includes air or surface transportation, medical care during transportation, communications and all usual ancillary charges incurred in moving You with a Serious Medical Condition to the nearest hospital where appropriate medical care is available, not necessarily to Malaysia.