Common use of Physical/Occupational Therapy Clause in Contracts

Physical/Occupational Therapy. Outpatient hospital when therapy is rendered within the first 30- days following a hospital stay; home care program or ambulatory surgical procedure. Limited to thirty (30) physical therapy visits and 30 occupational therapy visits per member per plan year. 0% - After deductible 20% - After deductible Outpatient hospital (after the first 30 days) or in a doctor’s/therapist’s office. Limited to thirty (30) physical therapy visits and 30 occupational therapy visits per member per plan year. 20% - After deductible 20% - After deductible

Physical/Occupational Therapy. Outpatient hospital when therapy is rendered within the first 30- 30-days following a hospital stay; home care program or ambulatory surgical procedure. Limited to thirty (30) physical therapy visits and 30 occupational therapy visits per member per plan year. 0% - After deductible Deductible 20% - After deductible Deductible Outpatient hospital (after when therapy does not meet the first 30 days) or in a doctor’s/therapist’s office. Limited to thirty (30) physical therapy visits and 30 occupational therapy visits per member per plan yearcriteria noted above. 20% - After deductible Deductible 20% - After deductibleDeductible In a doctor’s/ therapist’s office 20% - After Deductible 20% - After Deductible

Physical/Occupational Therapy. Outpatient hospital when therapy is rendered within the first 30- 30-days following a hospital stay; home care program or ambulatory surgical procedure. Limited to thirty (30) physical therapy visits and 30 occupational therapy visits per member per plan year. 0% - After deductible 20% - After deductible Outpatient hospital (after when therapy does not meet the first 30 days) or in a doctor’s/therapist’s office. Limited to thirty (30) physical therapy visits and 30 occupational therapy visits per member per plan yearcriteria noted above. 20% - After deductible 20% - After deductible** In a doctor’s/therapist’s office 20% - After deductible 20% - After deductible**