Practitioner Services. The Health Plan shall provide medically necessary practitioner services in accordance with the Practitioner Services Coverage and Limitations Handbook, and including the limitations and requirements specified below.
Practitioner Services. Charges for the services of the following Duly Licensed practitioners will be eligible. Unless specifically stated in the benefit booklet (as posted on the Board's intranet site), no benefits will be payable for tests, completion of reports or consultations with any person other than a Covered Person. A Physician's written authorization is only required for practitioner services where specified below. Physiotherapist or Certified Athletic Therapist (The services of a physiotherapist who has an agreement with the provincial health insurance plan will not be covered) Clinical Psychologist or Marriage and Family Therapist, up to a maximum of $500 per Covered Person in a calendar year Massage Therapist, up to a maximum of $500 per Covered Person in a calendar year Speech Pathologist, up to a maximum of $350 per Covered Person in a calendar year Chiropractor*, Osteopath, Podiatrist*, Chiropodist or Naturopath, up to a maximum of $500 per Covered Person per practitioner in a calendar year. This limit will include coverage for one x-ray taken by each practitioner each calendar year for each Covered Person. *Payment for the services of these practitioners will only be made after any annual allowance under the provincial health insurance plan has been exhausted.
Practitioner Services. OLPG, by and through HSC-S Faculty, shall provide the following health care professional services: (1) professional medical services to and for patients at Hospitals, including medically indigent and uninsured patients, as defined by Louisiana law (“Professional Services”); and (2) on call coverage services to the Hospitals (“On Call Coverage”). Collectively, Professional Services and On Call Coverage shall be referred to as “Practitioner Services.”
Practitioner Services. Charges for the services of the following Duly Licensed practitioners will be eligible. specifically stated, no benefits will be payable for tests, completion of reports or consultations with any person other than a Covered Person. A Physician’s written authorization is only required for practitioner services where specified below. Physiotherapist or Certified Athletic Therapist, up to a combined maximum of per Covered Person in a calendar year. (The services of a physiotherapist who has an agreement with provincial health insurance plan will not be covered.) Clinical Psychologist or Marriage and Family Therapist, up to a combined maximum of per Covered Person in a calendar year. Massage Therapist, up to a maximum of per Covered Person in a calendar year. (These services must be authorized in writing by the Covered Person’s attending Physician.) Speech Pathologist, up to a maximum of per Covered Person in a calendar year. Chiropractor*, Osteopath*, Podiatrist*, Chiropodist or Naturopath, up to a maximum of per Covered Person per practitioner in a calendar year. Benefits are also payable for x-rays taken by a chiropractor, osteopath or podiatrist, up to a maximum of per Covered Person per practitioner in a calendar year. for the these practitioners will be made any annual allowance under the health insuranceplan has been exhausted. DRUGS AND MEDICINES Charges for: Drugs, and injected allergy sera which: are listed in Manulife Financial Formulary Three, are purchased on the prescription of a Physician or Dentist, and are dispensed by a Duly Licensed pharmacist, Physician, Dentist or Hospital. This includes extemporaneous preparations provided at least one of the ingredients is Drugs and medicines considered to be life sustaining (as determined by Manulife ’Financial) when purchased on the prescription of a physician or dentist and dispensed by a Duly Licensed pharmacist, physician, dentist or hospital. This includes extemporaneous preparations provided at least one of the ingredients is drugs, up to a of per Covered Person per calendar year. Insulin, needles, syringes and chemical testing agents for the management of Injected vitamins. Sclerotherapy drugs for varicose vein treatment. cessation aids, up to a three month supply per calendar year (204 tablets is the equivalent of a three month supply) and limited to two three month per Covered Person’s lifetime. For a Covered Person years of and older, charges for the following expenses which are no longer paya...
Practitioner Services. Practitioner I description of the orthopedic shoe and modification(s) is required. Boots, sandals or sport-specific footwear are not eligible. 80% to a benefit maximum of $300 per participant per benefit year 80% to a $450 combined maximum Athletic Therapist $35 per visit Clinical Psychologist $50 per visit Chiropractor $35 per visit Foot Care Nurse See Practitioner II Master of Social Work $50 per visit Occupational Therapist $35 per visit Physiotherapist $35 per visit $35 per visit Podiatrist Practitioner I Services are provided to a combined benefit maximum per participant per benefit year. The services of an occupational therapist must be prescribed by a physician or nurse practitioner. Practitioner II 80% to a $300 combined maximum Acupuncturist $35 per visit Foot Care Nurse $25 per visit Homeopath $35 per visit Massage Therapist $35 per visit Naturopath $35 per visit Nutritional Counsellor $35 per visit $35 per visit Osteopath Practitioner II Services are provided to a combined benefit maximum per participant per benefit year. The services of a massage therapist or nutritional counsellor must be prescribed by a physician or nurse practitioner.
