Home Health Care In Your Home Sample Clauses

Home Health Care In Your Home. If you qualify to receive health care at home, we cover home health care services provided by a hospital’s home health care agency or community home health care agency. We cover the following medically necessary services:  nurse services;  services of a home health aide;  visits from a social worker; and  physical and occupational therapy. For information about doctor home and office visits see Section 3.23 - Office Visits. For home care equipment and supplies, see Section 3.8 - Durable Medical Equipment, Medical Supplies, Enteral Formula or Food, and Prosthetic Devices. For radiation therapy or chemotherapy services, see Section 3.30 - Radiation Therapy/Chemotherapy Services. For Prescription Drugs, see Section 3.27 and the Summary of Pharmacy Benefits.
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Home Health Care In Your Home. If you qualify to receive health care at home, we cover home health care services provided by a hospital’s home health care agency or community home health care agency. this agreement covers the following medically necessary services:  nurse services;  services of a home health aide;  visits from a social worker; and  physical and occupational therapy. For information about doctor home and office visits see Section 3.24 - Office Visits. For home care equipment and supplies, see Section 3.9 - Durable Medical Equipment, Medical Supplies, Enteral Formula or Food, and Prosthetic Devices. For diabetic equipment and supplies see Section 3.7 – Diabetic Equipment and Supplies. For radiation therapy or chemotherapy services, see Section 3.31 - Radiation Therapy/Chemotherapy Services. For prescription drugs, see the Pharmacy Benefits section and the Summary of Pharmacy Benefits.
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Home Health Care In Your Home. If you qualify to receive health care at home, we cover home health care services provided by a hospital’s home health care agency or community home health care agency. We cover the following medically necessary services: • nurse services; • services of a home health aide; • visits from a social worker; and • physical and occupational therapy. For information about doctor home and office visits see Section 3.24 - Office Visits. For home care equipment and supplies, see Section 3.9 - Durable Medical Equipment, Medical Supplies, Enteral Formula or Food, and Prosthetic Devices. For diabetic equipment and supplies see Section 3.7 – Diabetic Equipment and Supplies. For radiation therapy or chemotherapy services, see Section 3.31 - Radiation Therapy/Chemotherapy Services. For prescription drugs, see the Pharmacy Benefits section and the Summary of Pharmacy Benefits.
Sample 1Sample 2Sample 3See All (17)
Home Health Care In Your Home. If you qualify to receive health care at home, we cover home health care services provided by a hospital’s home health care agency or community home health care agency. We cover the following medically necessary services: • nurse services; • services of a home health aide; • visits from a social worker; and • physical and occupational therapy. For information about doctor home and office visits see Section 3.23 - Office Visits. For home care equipment and supplies, see Section 3.8. For radiation therapy or chemotherapy services, see Section 3.29 - Radiation Therapy/Chemotherapy Services. For prescription drugs, see Section 3.27 – Prescription Drugs.
Sample 1Sample 2Sample 3
Home Health Care In Your Home. If you qualify to receive health care at home, we cover home health care services provided by a hospital’s home health care agency or community home health care agency. We cover the following medically necessary services:  nurse services;  services of a home health aide;  visits from a social worker; and  physical and occupational therapy. For information about doctor home and office visits see Section 3.24 - Office Visits. For home care equipment and supplies, see Section 3.9 - Durable Medical Equipment, Medical Supplies, Diabetic Supplies, Enteral Formula or Food, and Prosthetic Devices. For diabetic equipment and supplies see Section 3.7 – Diabetic Equipment and Supplies. For radiation therapy or chemotherapy services, see Section 3.31 - Radiation Therapy/Chemotherapy Services. For prescription drugs, see the Pharmacy Benefits section and the Summary of Pharmacy Benefits.
Sample 1
Home Health Care In Your Home. If you qualify to receive health care at home, we cover home health care services provided by a hospital’s home health care agency or community home health care agency. We cover the following medically necessary services: • nurse services; • services of a home health aide; • visits from a social worker; and • physical and occupational therapy. For information about doctor home and office visits see Section 3.18 - House Calls and Section
Sample 1

Related to Home Health Care In Your Home

  • Home Health Care This plan covers the following home care services when provided by a certified home healthcare agency: • nursing services; • services of a home health aide; • visits from a social worker; • medical supplies; and • physical, occupational and speech therapy.

  • Health Care Insurance While a faculty member is on an approved leave of this type, the faculty member will be advised regarding the right to continue health care benefits in accordance with COBRA during the period of unpaid absence.

  • Health Care Operations Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501, as such provision is currently drafted and as it is subsequently updated, amended or revised.

  • Covered Health Care Services We agree to provide coverage for medically necessary covered health care services listed in this agreement. If a service or category of service is not specifically listed as covered, it is not covered under this agreement. Only services that we have reviewed and determined are eligible for coverage under this agreement are covered. All other services are not covered. See Section 1.4 for how we identify new services and our guidelines for reviewing and making coverage determinations. We only cover a service listed in this agreement if it is medically necessary. We review medical necessity in accordance with our medical policies and related guidelines. The term medically necessary is defined in Section 8.0 - Glossary. It does not include all medically appropriate services. The amount of coverage we provide for each health care service differs according to whether or not the service is received: • as an inpatient; • as an outpatient; • in your home; • in a doctor’s office; or • from a pharmacy. Also coverage differs depending on whether: • the health care provider is a network provider or non-network provider; • deductibles (if any), copayments, or maximum benefit apply; • you have reached your plan year maximum out-of-pocket expense; • there are any exclusions from coverage that apply; or • our allowance for a covered health care service is less than the amount of your copayment and deductible (if any). In this case, you will be responsible to pay up to our allowance when services are rendered by a network provider. Please see the Summary of Medical Benefits to determine the benefit limits and amount that you pay for the covered health care services listed below. Please see the Summary of Pharmacy Benefits to determine the benefit limits and amount that you pay for prescription drug and diabetic equipment and supplies purchased at a pharmacy.

  • EMPLOYEE HEALTH CARE 233. Pursuant to the Charter, the City contributes whatever rate is applicable per month directly into the City Health Service System for each employee who is a member of the Health Service System. Subsequent City contributions will be set pursuant to the Charter.

  • Primary Care Clinic Employees and each of their covered dependents must individually elect a primary care clinic within the network of providers offered by the plan administrator chosen by the employee. Employees and their dependents may elect to change clinics within their clinic’s Benefit Level as often as the plan administrator permits and as outlined above.

  • Family Care and Medical Leave An unpaid Family Care and Medical Leave shall be granted, to the extent of and subject to the restrictions as set forth below, to an employee who has been employed for at least twelve (12) months and who has served for one hundred thirty days (130) workdays during the twelve (12) months immediately preceding the effective date of the leave. For purposes of this section, furlough days and days worked during off-basis time shall count as "workdays". Family Care and Medical Leave absences of twenty (20) consecutive working days or less can be granted by the immediate administrator or designee. Leaves of twenty (20) or more consecutive working days can be granted only by submission of a formal leave application to the Classified Personnel Assignments Branch.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

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