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Services, supplies, or drugs that are needed for the prevention, diagnosis, or treatment of your medical conditin and meet accepted standars of medical practice.
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
A person who provides services that doesnt need the skills of a licensed nurse or therapist, such as help with personal care; ie bathing, dressing, etc.
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
Certain medical equipment that is ordered by your doctor for use at home: walkers, wheelchairs, etc
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
A provider or facility with which we have not arranged to coordinate or provide covered services to members of our plan
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
An entity that operates exclusively for the purpose of furnishing outpatient surgical services to patients not requiring hospitalization and whose expected stay in the center does
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
An amount you may be required to pay as your share of the cost of medical services.
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
If you disagree with the denial of a request for coverage of health care servics or payment for services you already received.
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
Care provided to treat a non-emergency, unforeseen medical illness, injury, or condition, that requires immediate medical care.
Urgently Needed Care
Home Health Aide
Ambulatory Surgical Center
Appeal
Coinsurance
medically Necessary
Durable Medical Equipment (DME)
Out of Network/Facility
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