Reconstructive Surgery. This benefit has one or more exclusions as specified in the Exclusions Section. Reconstructive Surgery from which an improvement in physiological function can reasonably be expected will be Covered if performed for the correction of functional disorders. Reconstructive Surgery must be prescribed by a Member’s Practitioner/Provider and requires Prior Authorization. For information regarding Reconstructive Surgery following a Mastectomy and Prophylactic Mastectomy, refer to the Women’s Healthcare Section.
Appears in 8 contracts
Samples: Presbyterian Health Plan, Presbyterian Health, Subscriber Agreement
Reconstructive Surgery. This benefit has one or more exclusions as specified in the Exclusions Section. Reconstructive Surgery from which an improvement in physiological function can reasonably be expected will be Covered if performed for the correction of functional disorders. Reconstructive Surgery must be prescribed by a Member’s Practitioner/Provider and requires Prior Authorization. For information regarding Reconstructive Surgery following a Mastectomy and Prophylactic Mastectomy, refer to the Women’s Healthcare Health Care Section.
Appears in 3 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Presbyterian Health Plan
Reconstructive Surgery. This benefit has one or more exclusions as specified in the Exclusions Section. Reconstructive Surgery from which an improvement in physiological function can reasonably be expected will be Covered if performed for the correction of functional disorders. Reconstructive Surgery must be prescribed by a Member’s Practitioner/Provider and requires Prior Authorization. For information regarding Reconstructive Surgery following a Mastectomy and Prophylactic Mastectomy, refer to the Women’s Healthcare Health Care Section.. Rehabilitation and Therapy This benefit has one or more exclusions as specified in the Exclusions Section.
Appears in 1 contract
Samples: Subscriber Agreement
Reconstructive Surgery. This benefit has one or more exclusions as specified in the Exclusions Section. Reconstructive Surgery from which an improvement in physiological function can reasonably be expected will be Covered if performed for the correction of functional disorders. Reconstructive Surgery must be prescribed by a Member’s Practitioner/Provider and requires Prior Authorization. For information regarding Reconstructive Surgery following a Mastectomy and Prophylactic Mastectomy, refer to the Women’s Healthcare Section.,
Appears in 1 contract
Samples: Subscriber Agreement
