Examples of Transplant Facility in a sentence
Travel expenses, limited to a maximum lifetime benefit of $10,000 for organ transplants performed at a Special Transplant Facility, or $5,000 for organ transplants performed at other facilities.
The cost of a donor search, limited to a maximum benefit of $15,000 per organ transplant when the search is conducted by a Special Transplant Facility or $5,000 per organ transplant when the search is conducted by other facilities.
Covered Services for patient selection criteria shall be covered at one (1) Designated Transplant Facility.
Benefits also include services incident to obtaining the human transplant mate- rial from a living donor or a tissue/organ transplant bank.Special TransplantBenefits are provided for certain procedures, listed below, only if (1) performed at a Special Transplant Facility contracting with Blue Shield to provide the procedure, (2) prior authorization is ob- tained, in writing from Blue Shield and (3) the re- cipient of the transplant is a Subscriber or Depen- dent.
Failure to obtain prior written authorization and/or failure to have the procedure performed at a contracting Special Transplant Facility will result in denial of claims for this Benefit.
If the second Designated Transplant Facility also determines the Member is not eligible for the transplant procedure, no coverage will be provided for further transplant-related services.
Failure to obtain prior written authorization and/or failure to have the procedure performed at a con- tracting Special Transplant Facility will result in denial of claims for this Benefit.
Benefits will be different for services provided at a Designated Transplant Facility than services provided at a Non-designated Transplant Facility.
A Board Certified Specialist must be utilized for this second opinion.A person who will be undergoing a transplant procedure will be referred to a Designated Transplant Facility.
This referral and authorization for services at a Designated Transplant Facility shall continue to be appropriate through the Transplant Benefit Period.If the Covered Person is denied the procedure by the Designated Transplant Facility, he/she may be referred to a second such facility for evaluation.