Urgent Care Services means health services that are medically appropriate and immediately required to prevent serious deterioration of a client’s health that are a result of unforeseen illness or injury.
Urgent Care Services means those health care services that are appropriately provided for an unforeseen condition of a kind that usually requires medical attention without delay but that does not pose a threat to the life, limb, or permanent health of the injured or ill person, and may include such health care services provided out of the health insuring corporation's approved service area pursuant to indemnity payments or service agreements.
Urgent Care Services means a medical care or other service for a condition where application of the timeframe for making routine or non-life threatening care determinations is either of the following:
Examples of Urgent Care Services in a sentence
Urgent Care Services outside of our Service Area, as described in Section 3: Benefits, Exclusions and Limitations;3.
Getting Emergency and Urgent Care Services Emergency ServicesEmergency Services are covered no matter when or where in the world they occur.If you think you have a medical emergency, call 911, where available, or go to the nearest emergency room.
Member Services representatives can also help you submit a request for payment and/or reimbursement for Emergency Services and Urgent Care Services outside of our Service Area.Notice of Claim We do not require a written notice of claim.
If the problem is more severe and you need an appointment, they will help you get one.If you are not sure you are experiencing a medical emergency, or for Urgent Care Services for symptoms such as a sudden rash, high fever, severe vomiting, ear infection or sprain, you may call our advice nurses at 1-800-777-7904 or 711 (TTY).
Urgent Care Services means care and treatment for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not so severe as to require emergency room services.
More Definitions of Urgent Care Services
Urgent Care Services means initial care for a sudden and unforeseen illness or injury when the member is TEMPORARILY away from the Hawaii service area, which is required to prevent serious deterioration of the member's health and which cannot be delayed until the member is medically able to safely return to the Hawaii service area or travel to a Kaiser Permanente facility in another Health Plan Region. Continuing or follow-up treatment at a non-Kaiser Permanente facility is not covered.
Urgent Care Services are those Covered Services (other than Emergency Services) which are Medically Necessary to prevent serious deterioration of a Member’s health, alleviate severe pain, or treat an illness or injury with respect to which treatment can not reasonably be delayed. For Blue Shield 65 Plus Members, Urgent Care Services, at a minimum, include all services which are defined by Center for Medicare and Medicaid Services (CMS) as “Urgently Needed Services”.
Urgent Care Services means services intended to provide urgently needed care in a timely manner when your PCP has determined that you require these services, or you are Out-of-Area and require Urgent Care Services. Urgent Care Services means those services performed, inside or outside Plan's Service Area, that are medically required within a short timeframe, usually within 24 hours, in order to prevent a serious deterioration of a Member's health due to an illness or injury or complication of an existing condition, including pregnancy, for which treatment cannot be delayed. Urgently needed services include maternity services necessary to prevent serious deterioration of the health of the Member or the Member’s fetus, based on the Member’s reasonable belief that she has a pregnancy-related condition for which treatment cannot be delayed until the Member returns to Plan's Service Area. Urgent Care Services are covered worldwide in accordance with the following provisions:
Urgent Care Services means health care services, other than Emergency Care, which are typically provided in settings such as a physician or provider’s office or urgent care center, as a result of an acute injury or illness that is severe or painful enough to lead a prudent layperson, possessing an average knowledge of medicine and health, to believe that his or her condition, illness or injury is of such a nature that failure to obtain treatment within a reasonable period of time would result in serious deterioration of the condition of his or her health.
Urgent Care Services in this section means any medical care or treatment to which the application of the time periods for making non-Urgent Care Services determinations (A) could seriously jeopardize Your life or health or Your ability to regain maximum function or (B) in the opinion of the attending Provider, would subject You to severe pain that cannot be adequately managed without the care or treatment that is the subject of the certification. A listing of the benefits requiring Prior Authorization can be found on Our website: AlliantPlans.com or by calling Customer Service at (866) 403-2785. The Prior Authorization list is subject to change. BENEFITS All Covered Services must be Medically Necessary whether provided through In-Network Providers or Out-of-Network Providers. Some Covered Services may require Prior Authorization, please call Customer Service at (866) 403-2785 or visit AlliantPlans.com to confirm whether a specific benefit requires Prior Authorization. ALLERGY CONDITIONS Standard Medically Necessary testing and treatment for allergy conditions are covered (see “What is Not Covered” for non- standard tests that are considered a Non-Covered Service).