Routine patient care costs definition
Examples of Routine patient care costs in a sentence
Routine patient care costs for qualifying clinical trials include: • Covered Health Care Services for which Benefits are typically provided absent a clinical trial.
Routine patient care costs incurred while taking part in a qualifying clinical trial for the treatment of: • Cancer or other life-threatening disease or condition.
Routine patient care costs include the costs associated with the provision of health care services, including drugs, items, devices, and services that would otherwise be covered under the plan or contract if those drugs, items, devices, and services were not provided in connection with an approved clinical trial program, including: • Health care services typically provided absent a clinical trial.
Routine patient care costs do not include the costs associated with the provision of any of the following: • Drugs or devices that have not been approved by the federal Food and Drug Administration and that are associated with the clinical trial.
Routine patient care costs for patients diagnosed with cancer who are accepted into phase I, II, III, or IV clinical trials are covered when Medically Necessary, recommended by the Member's treating Physician and authorized by Health Net.