Inpatient. If you are an inpatient in a general or specialty hospital for mental health services, this agreement covers medically necessary hospital services and the services of an attending physician for the number of hospital days shown in the Summary of Medical Benefits. See Section 3.20 – Inpatient Hospital services for additional information. Preauthorization is recommended for inpatient mental health services. Intermediate Care Services Intermediate Care Services are facility based programs used as a step down from a higher level of care or a step-up from standard care. See the Summary of Medical Benefits for the amount you pay. Preauthorization is recommended for intermediate care services. This agreement covers the following mental health Intermediate Care Services: Partial Hospital Program (PHP) – This agreement covers partial hospital programs that are approved by us and meets our criteria for participation and program requirements.
Appears in 8 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
