Urgent medical condition definition

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:
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;

Examples of Urgent medical condition in a sentence

  • Urgent medical condition care appointments within forty-eight (48) hours of referral or notification of the Primary Care Physician.

  • Urgent medical condition care appointments within forty-eight (48) hours of referral or notification of the Primary Care Physician Scheduling of appointments for routine care (non-symptomatic) within four (4) weeks and a maximum of twelve (12) weeks for unique specialists.

  • Specialty Care Access Standards:Specialty providers must adhere to the following access standards:• Emergent visits immediately upon referral• Urgent medical condition care appointments within forty-eight (48) hours of referral or notification of the Primary Care Physician .• Scheduling of appointments for routine care (non- symptomatic) within four weeks and a maximum of twelve (12) weeks for unique specialists .

  • The Participant or his Authorized Representative may request an "expedited" Internal Appeal Review upon the Participant's treating Physician certifying to the Appeals Committee in writing on the Appeal Request Form that the Participant has an Urgent medical condition.

  • Specialty care access standardsSpecialty providers must adhere to the following access standards:• Emergent visits immediately upon referral.• Urgent medical condition care appointments within 48 hours of referral or notification of the primary care physician.• Scheduling of appointments for routine care (nonsymptomatic) within four weeks and a maximum of 12 weeks for unique specialists.


More Definitions of Urgent medical condition

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: • A medical condition, including a physical condition, a mental condition, or a dental condition, where the absence of medical attention within 72 hours could reasonably be expected by an individual, acting on our behalf, applying the judgment of a prudent layperson who possesses an average knowledge of health and medicine, to result in: ▪ Placing the Covered Person’s life or health in serious jeopardy; ▪ The inability of the Covered Person to regain maximum function; ▪ Serious impairment to bodily function; ▪ Serious dysfunction of any bodily organ or part; or ▪ The Covered Person remaining seriously mentally ill with symptoms that cause the Covered Person to be a danger to self or others; or ▪ A medical condition, including a physical condition, a mental health condition, or a dental condition, where the absence of medical attention within 72 hours in the opinion of a health care provider with knowledge of the Covered Person’s medical condition, would subject the Covered Person to severe pain that cannot be adequately managed without the care or treatment that is the subject of the coverage decision.
Urgent medical condition. As used in this Section 5, a medical condition for which care has not been rendered, and which if not treated within 24 hours:
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. As used in Section 5:
Urgent medical condition means a medical condition that arises suddenly, is not life-threatening and requires prompt treat- ment to avoid the development of more seri- ous medical problems.