Ambulance Benefits. Benefits are provided for (1) Medically Necessary ambulance services (surface and air) when used to transport a Member from place of illness or injury to the closest medical facility where appropriate treatment can be received, or (2) Medically Necessary ambulance transportation from one medical facili- ty to another. Ambulatory Surgery Center Benefits Ambulatory surgery Services means surgery which does not require admission to a Hospital (or similar facility) as a regis- tered bed patient. Outpatient routine newborn circumcisions are covered when performed in an ambulatory surgery center. For the purposes of this Benefit, routine newborn circumcisions are circumci- sions performed within 18 months of birth. Outpatient Services including general anesthesia and associ- ated facility charges in connection with dental procedures are covered when performed in an Ambulatory Surgery Center because of an underlying medical condition or clinical status and the Member is under the age of seven or developmentally disabled regardless of age or when the Member’s health is compromised and for whom general anesthesia is Medically Necessary regardless of age. This Benefit excludes dental procedures and Services of a dentist or oral surgeon.
Ambulance Benefits a) Coverage for emergency and non-emergency ambulance services in Manitoba. Emergency ambulance service charges are covered from the place where accident or sickness occurs to the nearest hospital where appropriate treatment can be provided. Non-emergency ambulance service charges shall be considered as an eligible expense, provided that the patient has been transported by an ambulance to the nearest hospital where appropriate treatment can be provided, from hospital to hospital, or from hospital to home, and that such transportation was on the prior recommendation of a physician. This benefit includes transportation by a medical transfer service operator who has entered into an agreement with Blue Cross, subject to the amount payable for such service being limited to a $250 lifetime maximum. For both emergency and non-emergency ambulance use, services rendered by a participating ambulance operator will be paid in full by Blue Cross and charges by a non-participating operator will be settled on the basis of the charges that would have been assessed by a participating ambulance operator, but not exceeding the actual amount charged for the service. If an air ambulance is used in non-emergency situations, payment will be made up to the amount equivalent to what ground ambulance service cost would have been.
Ambulance Benefits. Benefits are provided for (1) Medically Necessary ambu- xxxxx services (surface and air) when used to transport a Member from place of illness or injury to the closest medi- cal facility where appropriate treatment can be received, or
Ambulance Benefits. Benefits are provided for (1) Medically Necessary ambulance services (surface and air) when used to transport a Member from place of illness or injury to the closest medical facility where appropriate treatment can be received, or (2) Medically Necessary ambulance transportation from one medical facili- ty to another.
Ambulance Benefits. Benefits are provided for (1) Medically Necessary ambulance services (surface and air) when used to transport a Member from place of illness or injury to the closest medical facility where appropriate treatment can be received, or (2) Medically Necessary ambulance transportation from one medical facili- ty to another. Ambulatory Surgery Center Benefits Ambulatory surgery Services means surgery which does not require admission to a Hospital (or similar facility) as a regis- tered bed patient. Outpatient routine newborn circumcisions are covered when performed in an ambulatory surgery center. For the purposes of this Benefit, routine newborn circumcisions are circumci- sions performed within 18 months of birth. Outpatient Services including general anesthesia and associ- ated facility charges in connection with dental procedures are covered when performed in an Ambulatory Surgery Center because of an underlying medical condition or clinical status and the Member is under the age of seven or developmentally disabled regardless of age or when the Member’s health is compromised and for whom general anesthesia is Medically Necessary regardless of age. This Benefit excludes dental procedures and Services of a dentist or oral surgeon. Note: Reconstructive Surgery is only covered when there is no other more appropriate covered surgical procedure, and with regards to appearance, when Reconstructive Surgery offers more than a minimal improvement in l appearance. In accordance with the Woman’s Health & Cancer Rights Act, Reconstructive Surgery is covered on either breast to restore and achieve symmetry incident to a mastectomy including treatment of physical complications of a mastectomy and
