Urgent Medical Condition definition

Urgent Medical Condition means a Condition manifesting itself by acute symptoms that are of lesser severity than those recognized for an Emergency Medical Condition, such that a prudent layperson who possesses an average knowledge of health and medicine could reasonably expect the illness or injury to place the health or safety of the Member or another individual in serious jeopardy, in the absence of medical treatment within 24 hours. Examples of Urgent Medical Conditions include high fever, dizziness, animal bites, sprains, severe pain, respiratory ailments and infectious illnesses.
Urgent Medical Condition means a condition that satisfies either of the following:
Urgent Medical Condition means a medical condition manifesting itself by acute symptoms that are of lesser severity (including severe pain) than that recognized for an emergent medical condition, such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the illness or injury to result in:

Examples of Urgent Medical Condition in a sentence

  • The Health Plan’s internal Appeal process must be exhausted prior to filing a Complaint with the Commissioner, except if our Coverage Decision involves an Urgent Medical Condition.


More Definitions of Urgent Medical Condition

Urgent Medical Condition means a medical condition that arises suddenly, is not life-threatening, and requires prompt treatment to avoid the development of more serious medical problems;
Urgent Medical Condition means any medical condition as defined by an appropriate medical authority through documentation or by direct witness of a clearly visible disablement that poses a serious threat to the life of the person with the medical condition.” Do you have an urgent medical condition? Yes No
Urgent Medical Condition. A medical (physical, mental, or dental) condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of medical attention within twenty-four (24) hours could reasonably be expected by a prudent layperson that possesses an average knowledge of health and medicine to result in:
Urgent Medical Condition means a medical or behavioral condition other than an emergency condition, manifesting itself by acute symptoms of sufficient severity that, in the assessment of a "prudent lay person", possessing an average knowledge of medicine and health, could reasonably be expected to result in serious impairment of bodily functions, serious dysfunction of a bodily organ, body part, or mental ability, or any other condition that would place the health or safety of the Enrollee or another individual in serious jeopardy in the absence of medical or behavioral treatment within twenty-four (24) hours.
Urgent Medical Condition means a medical or behavioral health condition manifesting itself by acute symptoms of sufficient severity such that if services are not received within 24 hours of the request, the person’s situation is likely to deteriorate to the point that Emergent Services are necessary.
Urgent Medical Condition means a medical condition (physical, mental, or dental), where the absence of medical attention within 72 hours could reasonably be expected by an individual, acting on behalf of Aetna, applying the judgment of a prudent layperson who possesses an average knowledge of health and medicine, to result in:
Urgent Medical Condition means a medical condition that arises suddenly, is not