Common use of Rehabilitation Services Clause in Contracts

Rehabilitation Services. Rehabilitation services and physical, speech and occupational therapies that in the opinion of a Physician are Medically Necessary and meet or exceed Your treatment goals are provided when preauthorized or prescribed by Your PCP or Specialist. For a physically disabled person, treatment goals may include maintenance of functioning or prevention or slowing of further deterioration. Rehabilitation Services may be provided in the Provider’s office, in a Hospital as an inpatient, in an outpatient facility, or as home health care visits. Treatment of Acquired Brain Injury will be covered the same as any other physical condition. Cognitive rehabilitation therapy, cognitive communication therapy, neurocognitive therapy and rehabilitation; neurobehavioral, neurophysiological, neuropsychological and psychophysiological testing or treatment; neurofeedback therapy, remediation, post- acute transition services and community reintegration services, including outpatient day treatment services, or any other post- acute treatment services are covered, if such services are necessary as a result of and related to an Acquired Brain Injury. To ensure that appropriate post- acute care treatment is provided, HMO includes coverage for periodic reevaluation for a Member who:

Appears in 6 contracts

Samples: www.bcbstx.com, www.bcbstx.com, www.bcbstx.com

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Rehabilitation Services. Rehabilitation services and physical, speech and occupational therapies that in the opinion of a Physician are Medically Necessary and meet or exceed Your treatment goals are provided when preauthorized or prescribed by Your PCP or Specialist. For a physically disabled person, treatment goals may include maintenance of functioning or prevention or slowing of further deterioration. Rehabilitation Services services may be provided in the Provider’s 's office, in a Hospital as an inpatient, in an outpatient facility, or as home health care visits. Treatment of Acquired Brain Injury will be covered the same as any other physical condition. Cognitive rehabilitation therapy, cognitive communication therapy, neurocognitive therapy and rehabilitation; neurobehavioral, neurophysiological, neuropsychological and psychophysiological testing or treatment; neurofeedback therapy, remediation, post- acute post‐acute transition services and community reintegration services, including outpatient day treatment services, or any other post- acute post‐acute treatment services are covered, if such services are necessary as a result of and related to an Acquired Brain Injury. To ensure that appropriate post- acute post‐acute care treatment is provided, HMO includes coverage for periodic reevaluation for a Member who:

Appears in 1 contract

Samples: Your Rights And

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