AXA MANSARD PERSONAL PLATINUM PLUS PLAN Cover & Exclusions
|
|
|
- Claud Fletcher
- 5 years ago
- Views:
Transcription
1 AXA MANSARD PERSONAL PLATINUM PLUS PLAN Cover & Exclusions This plan covers the following services; EMERGENCY CARE: Initial stabilization and care, it also covers intensive care if required. EVACUATION: Ambulance services are covered under this plan; it includes evacuation from site of injury to hospital and from hospital to hospital. INTENSIVE CARE (Period of 14 days): Admission and care in a specialized unit where access to a high level of medical care and monitoring would be provided for critical cases. OUTPATIENT COMPONENT: General consultations Specialist consultations Provision of prescribed drugs and medications for covered conditions INPATIENT COMPONENT: Comprising of admission for the treatment of covered conditions in a private ward Feeding of enrollees for the duration of admission Provision of medical care, nursing care, and prescribed medication and consumables during the duration of admission PHYSIOTHERAPY Physiotherapy services 20 sessions Provision of prescribed physiotherapeutic appliances e.g. Soft and hard cervical collar, Crutches DIAGNOSTIC SERVICES a. Radiological services Plain X-rays of the limbs, spine, abdomen, pelvis, chest, skull Contrast studies Ultrasound scan b. Laboratory services Histopathology Hematological investigations Microbiological investigations Serology
2 Clinical chemistry c. Electrocardiogram (ECG) Rest d. Spirometry e. EEG-Electroencephalogram f. Echocardiography ADVANCED INVESTIGATIONS- On Emergency CT Scan (Computed Tomography) MRI Scan (Magnetic Resonance Imaging) ANTE NATAL CARE AND DELIVERY Antenatal care including prescribed drugs up to agreed hospital tariffs Antenatal procedures including Shirodkar's operation Management of pregnancy complications Normal delivery Assisted vacuum or forceps delivery Caesarian section Post natal care FAMILY PLANNING SERVICES - Pills, injectable, IUCD, Vasectomy, Tubal Ligation, Norplant FERTILITY SERVICES (INVESTIGATION ONLY)- Counseling, USS, SFA, HSG, Hormonal Assay& Hysteroscopy NEONATAL SERVICES AND PAEDIATRIC CARE Neonatal care including sepsis, cord care, physiologic jaundice, opthalmia neonatorum Circumcision Ear piercing Well baby clinic at 6 weeks Routine Immunizations BCG, Measles, DPT, Oral Polio, Vitamin A supplementation Additional Immunizations for 0-5years Pneumococcal vaccine & Rotavirus 2 P a g e
3 Treatment of common childhood diseases like malaria, and other uncomplicated febrile illnesses, diarrheal diseases, Upper respiratory tract infection MINOR, INTERMEDIATE, MAJOR AND COMPLEX SURGICAL PROCEDURES UP TO LIMIT OF N1,000, Wound dressing Suturing of minor cuts and lacerations Incision and drainage of abscesses Minor ENT (Ear, Nose, Throat) procedures like ear syringing Minor wound debridement Lump excision Hernia repairs Appendectomy Closed reduction and manipulation of simple fractures and dislocations Surgery for haemorrhoids Endoscopy ENT procedures like Antral washouts, Tonsillectomy Surgery for ectopic pregnancy Myomectomy Elective Orthopedic Surgery Laparotomy Gynecological surgeries like Hysterectomy ENT surgeries like Adenotonsillectomy Other complex surgeries such as Thyroidectomy, Open reduction and internal fixation of fractures, Brain surgeries, Vascular and nerve surgeries and Transplant surgeries. DENTAL CARE- Covered up to N80, Primary dental care including Examination Basic dental treatment Simple amalgam or composite filling Scaling and polishing 3 P a g e
4 Non-surgical extractions Pain therapy drugs Dental Surgical Extraction Root canal and orthodontics EYE CARE Basic eye examination Refraction Biennial optical lenses (up to N 25,000) MENTAL HEALTH SERVICES Counseling Outpatient consultation and treatment (up to 8 weeks) HIV/AIDS CARE AND TREATMENT Voluntary counseling and testing Pre-treatment assessment Monitoring ANNUAL HEALTH SCREENING (at designated centers for Principal and spouse only) Physical examination BMI Urinalysis PCV Blood pressure Blood sugar Genotype Lung/Pulmonary function test Chest x-ray ECG Serum cholesterol Annual mammogram Cervical smears every 2 years for women > 30 years and above PSA for men above 40 yrs 4 P a g e
5 EMERGENCY INTERNATIONAL EVACUATION COVER- Covered up to $100, REGION OF COVER Nigeria& India AXA MANSARD PERSONAL PLATINUM PLUS SPECIFIC EXCLUSIONS: GENERAL EXCLUSIONS: The following exclusions are applicable on all the plans Cosmetic Surgery Teeth Whitening Dental Prosthesis Domiciliary/Hospice Care Alternative /Unorthodox medicine Neonatal care not listed under neonatal services Self-inflicted injuries Congenital abnormalities Conditions caused by an act of war, an epidemic or enrollee participating in a riot Services primarily for weight reduction or treatment of obesity Treatment of substance abuse Infertility- All investigations and treatment. Orthodontics. Advanced radiological investigations (e.g. C.T. scan, Myelogram, EEG). Advanced and Complex investigations (e.g. Marrow biopsy, skeletal survey). Prosthetic devices such as cardiac pacemaker, orthopedic implants. Management of Chronic Renal Failure (Dialysis and Transplant Surgery). Induced Abortion. Laser Treatments. Transplants. Complex major Surgeries (e.g. Heart, Brain and Great blood vessels). Neurological surgeries. Management of Cancer 5 P a g e
6 Professional Sports and wilful exposure to needless danger Infectious and contagious diseases in an epidemic All procedures, management and investigations not covered by the plans The following pre-existing or chronic conditions will be excluded in the first 24 months of the inception of the policy, however this list is not exhaustive only includes common one: Hypertension and Cardiac related diseases. Diabetes and its complications. Hepatitis B & C. Kidney related conditions. Hemoglobinopathies Peptic Ulcer Disease. Asthma. Epilepsy and Seizure disorders. Glaucoma and Cataract. Arthritis. Pregnancy All treatment related to Antenatal, Natal or Postnatal period. E.t.c. 6 P a g e
AXA MANSARD PERSONAL GOLD PLAN Cover & Exclusions
This plan covers the following services; AXA MANSARD PERSONAL GOLD PLAN Cover & Exclusions EMERGENCY CARE: Initial stabilization and care, it also covers intensive care if required INTENSIVE CARE (covered
Summary of Plan Benefits Life Plus
Summary of Plan Benefits Life Plus 24-hr Call Centre Tel: 01 277 9800 0700 277 9800 1 Summary of Plan Benefits Life Plus This booklet provides you with detailed information about the benefits covered by
Services Covered by Your Health Plan. Plan Benefits. General and Specialist Consultations. Admissions & Accommodation. Prescribed Medicines & Drugs
General and Specialist Consultations Registration Consultations with general practice doctors Consultations with specialists 10 consultations per person per annum Admissions & Accommodation Admissions
Services Covered by Your Health Plan. Plan Benefits. General and Specialist Consultations. Admissions & Accommodation. Prescribed Medicines & Drugs
General and Specialist Consultations Registration Consultations with general practice doctors Consultations with specialists 4 consultations per person per annum Admissions & Accommodation Admissions up
20 HOSPITAL S 17 TANDARD
2017 This hospital plan offers extensive hospital benefits with some value-added benefits. Unlimited cover up to 100% in hospital 27 PMB chronic conditions covered Network specialists paid in full in hospital
Services Covered by Your Health Plan. Plan Benefits. General and Specialist Consultations. Admissions & Accommodation. Prescribed Medicines & Drugs
General and Specialist Consultations Registration Consultations with general practice doctors Consultations with specialists 6 consultations per person per annum Admissions & Accommodation Admissions up
RUBY. ProHealth HMO Limited Health Plan
RUBY ProHealth HMO Limited Health Plan ProHealth s RUBY Health Plan Benefits 2019 Out-patient Services a. General Consultation b. Specialist consultation c. Supply of prescribed drugs & medications d.
TOTAL HEALTH TRUST LIMITED
BENEFITS FOR TOTAL HEALTH TRUST LIMITED PREVENTIVE (OUT PATIENT SERVICES) NHIS GOLD Enhanced Gold PHYSICIAN SERVICES General outpatient consultation Specialist consultation Well-baby care Well-child care
PRIMARY. Adult dependant. Main member. Child dependant R1 924 R1 505 R 613
2017 This traditional option offers simple day-to-day benefits and hospital cover. Unlimited cover up to 100% in hospital Separate benefit for GP consultations Network specialists paid in full in hospital
Concord Hospital Cost of Care Estimates
Hospital Departments Laboratory Services Basic Metabolic Panel (BMP)(80048) $88 N/A $88 $35 Blood draw (36415) $29 N/A $29 $12 Complete blood cell count (CBC)(85025) $88 N/A $88 $35 Comprehensive Metabolic
NHIS AND DHI RETIREE PLANS FOR 2015
Retiree Platinum Retiree Enhanced Gold Enhanced Gold NHIS GOLD NHIS AND DHI RETIREE PLANS FOR 2015 Below 50 years Over 50 years TOTAL HEALTH TRUST LIMITED PREVENTIVE (OUT PATIENT SERVICES) PHYSICIAN SERVICES
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 Payment for Services Covered Services are reimbursed based on the Allowable Charge. Blue Cross
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018
1 Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 Payment for Services Covered Services are reimbursed based on the Allowable Charge. BlueCross
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018
Schedule of Benefits Summary Group Name: Nebraska Bankers Association VEBA Effective Date: January 01, 2018 Payment for Services Covered Services are reimbursed based on the Allowable Charge. Blue Cross
20 BON ESS 17 ENTIAL
2017 This hospital plan offers rich hospital benefits with some value-added benefits. Unlimited cover up to 100% in hospital 27 PMB chronic conditions covered Network specialists paid in full in hospital
Services Covered by Your Health Plan. Plan Benefits. General and Specialist Consultations. Admissions & Accommodation. Prescribed Medicines & Drugs
General and Specialist Consultations Registration Consultations with general practice doctors Consultations with specialists 3 consultations per annum Admissions & Accommodation Admissions up to a maximum
Allergen specific, each allergen is covered up to 50 units per patient annually; additional units would require medically necessary review.
ALAMEDA ALLIANCE FOR HEALTH REFERRAL AND PRIOR AUTHORIZATION () GRID FOR MEDICAL BENEFITS FOR DIRECTLY CONTRACTED PROVIDERS ONLY Effective 01/01/2019 Before services are provided, please check: Member
Sizwe Medical Fund Benefits and Contribution 2017
Prescribed Minimum Benefits: PMBs are paid at 100% Sizwe negotiated rates except where Sizwe has a DSP arrangement in place. No co-payments apply on PMBs. Subject to pre-authorisation where applicable,
Preventative care: HIV test & flu vaccine Mammogram Pap smear Pneumococcal vaccine. Prostate screening
What you get This traditional option uses a quality provider network to offer simple day-to-day benefits and hospital cover. 15% Cheaper than the PRIMARY OPTION R Day-to-day benefits and GP nomination
20 STANDARD 17 SELECT
2017 This traditional option uses a quality provider network to offer rich day-to-day benefits and hospital cover. Unlimited cover up to 100% at hospitals on the Standard Select network Rich day-to-day
STANDARD. Adult dependant. Main member. Child dependant R2 998 R2 600 R 880
2017 This traditional option offers rich day-to-day benefits and comprehensive hospital cover. Unlimited cover up to 100% in hospital Network specialists paid in full in hospital Additional benefit for
Preventative care: HIV test & flu vaccine Mammogram Pap smear Pneumococcal vaccine. Prostate screening
This income based entry-level plan offers basic day-to-day benefits and hospital cover using a network of doctors, providers and hospitals. What you get Basic day-to-day benefits and GP consultations with
HEALTH INSURANCE PROGRAM BUSINESS
Insurance coverage 1. Urgent and emergency medical assistance 2. Doctor-specialist s house call 3. Annual preventive health checks 4. Outpatient medical assistance 5. Inpatient medical assistance 6. Cardiology
Oregon CPT Preapproval Grid
Not Applicable Home Health Stays - For all Initial Certification and Recertification periods Notes: Initial Certification review required effective 1/1/12. Not Applicable Skilled Nursing Facility Stays
MyCare Advisor is our online suite of tools that assist Members in understanding and comparing cost, quality, and satisfaction among Providers.
January 2012 What is MyCare Advisor SM? Thinking about health care services in a different light is the first step to educating yourself on health care costs. Capital BlueCross is taking the second step
MetroPlus Health Plan SCHEDULE OF BENEFITS MetroPlus Gold
SECTION XXIV MetroPlus Health Plan SCHEDULE OF BENEFITS MetroPlus Gold COST-SHARING Deductible Individual Family Out-of-Pocket Limit Individual Family $0 $0 $7,150 $14,300 except as required for emergency
LABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES
PROCEDURE CHARGES / HOSPITAL may vary depending on circumstances. Prices subject to change. LABORATORY PROCEDURES Basic Metabolic Panel $112.00 80048 Comprehensive Metabolic Panel $140.00 80053 UA Micro
BONCLASSIC. Adult dependant. Child dependant. Main member R3 648 R3 132 R 900
2017 This generous savings option offers a wide range of medical benefits, in and out of hospital. Unlimited cover up to 100% in hospital Network specialists paid in full in hospital Separate benefits
REVENUE CODE LIST REQUIRING CPT/HCPCS CODES FOR OUTPATIENT FACILITY CLAIMS
REVENUE CODE LIST REQUIRING CPT/HCPCS CODES FOR OUTPATIENT FACILITY CLAIMS For Providers Effective July 15, 2018 Revenue Code Description 240 All inclusive ancillary, general 250 Pharmacy 251 Drugs, generic
Service Bundle 1 Appendectomy - Outpatient 2 Asthma 3 Back Pain - Lumbar Diskectomy 4 Back Pain - Lumbar Fusion 5 Back Pain - Lumbar Laminectomy 6
1 Appendectomy - Outpatient 2 Asthma 3 Back Pain - Lumbar Diskectomy 4 Back Pain - Lumbar Fusion 5 Back Pain - Lumbar Laminectomy 6 Birth Control - Cut and Tie Tubes 7 Bladder Exam - Cystoscopy 8 Bunion
2018 Anthem Blue Cross Senior Secure HMO - Southern CA - Post 65 (Medicare Eligible)*
General Information Lifetime Maximum Benefit Annual Maximum Benefit Coinsurance Percentage Precertification Requirements Prior authorization is required for select services. Services must be coordinated
2018 Anthem Blue Cross HMO*
General Information Lifetime Maximum Benefit Annual Maximum Benefit Coinsurance Percentage 100.00% Precertification Requirements Pre-certification is required for certain services. However, this is an
FULL BENEFIT BENEFITS GUIDE. #caring4life
FULL BENEFIT C A R E 2016 BENEFITS GUIDE #caring4life Our Full Benefit Care option offers comprehensive cover, generous benefits to cover families and individuals who need access to unlimited hospitalisation
Kaiser Permanente 2013 Sample Fee List
Kaiser Permanente 2013 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. COLORADO As your partner in health, we want to help you manage your health care
II. BENEFITS AND SERVICES
II. S AND SERVICES A. HealthChoice Benefits This table shows the healthcare services and benefits that all HealthChoice enrollees can get when they need them. We offer other services not listed here. (See
AFFORDABLE BENEFITS GUIDE. #caring4life
AFFORDABLE C A R E 2016 BENEFITS GUIDE #caring4life Our Affordable Care option offers generous comprehensive cover with unlimited hospitalisation in any private hospital. It also covers additional chronic
Molina Healthcare of Washington Member Services: (800) /TTY
Benefits At-A-Glance Our goal is to provide you with the best care possible. Abortion Involuntary pregnancy termination (miscarriage) Voluntary pregnancy termination Acupuncture Ambulance Transportation
60 conditions covered. R chronic benefit per family Comprehensive medicine list. Savings
BONCOMPREHENSIVE SAVINGS OPTION This first-class savings plan offers ample savings, an above threshold benefit and extensive hospital cover. In-hospital, consultations & treatment at 300% R589 000 cancer
HEALTH FACILITY SCOPE OF SERVICES
Kindly fill the herein form specifying the scope of services (inpatient and outpatient) provided by your institution and the present medical professionals level. Health Authority Abu Dhabi Facility Licensing
Patient Name: Date of Birth:
Patient Name: Date of Birth: Marital Status: Single Married Divorced Widowed Height: Referring Doctor: Weight: Primary Care Dr.: Preferred Pharmacy:(name/address) ALLERGIES: Do you have any drug allergies?
Overseas Vistiors upfront charging tariff 2017/18. James Paget University Hospitals NHS Foundation Trust
Overseas Vistiors upfront charging tariff 2017/18 James Paget University Hospitals NHS Foundation Trust From 6 April 2015 relevant NHS bodies should only be using the risk-share agreement with commissioners
20 BON CO 17 MPREHENSIVE
2017 This first-class savings plan offers ample savings, an above and extensive hospital cover. Unlimited cover up to 300% in hospital Cancer benefit of R556 700 including benefit for specialised drugs
MEDICAL & RX BENEFIT MATRIX. American Environmental Group/PPO Plan HSB Customer Service: EFFECTIVE DATE: MEDICAL & RX BENEFITS
MEDICAL & RX BENEFIT MATRIX American Environmental Group/PPO Plan HSB Customer Service: EFFECTIVE DATE: 01-01-2011 MEDICAL & RX BENEFITS SCHEDULE OF BENEFITS MEDICAL BENEFITS COVERED SERVICE/PLAN IN-NETWORK
Hip $5,200. Wrist or Elbow $1,430 $715. Toe or Finger $390 $195. (except toes/heel), Wrist,
High 24 Hour Module 1 Accident Emergency Treatment Accident Emergency Treatment Benefit For physician treatment and X-rays in a hospital or doctor's office within 96 hours of the accident. Major Diagnostic
Patient Name: Date of Birth: Preferred Pharmacy: (name/location/phone #)
Patient Name: Date of Birth: Referring Doctor: Primary Care Dr: Preferred Pharmacy: (name/location/phone #) CURRENT MEDICATIONS: Please list all Medication Dose Frequency 1 2 3 4 5 6 7 8 9 10 11 12 13
MEDICAL & RX BENEFIT MATRIX. American Environmental Group/HSA Plan EFFECTIVE DATE: MEDICAL & RX BENEFITS
MEDICAL & RX BENEFIT MATRIX American Environmental Group/HSA Plan EFFECTIVE DATE: 01-01-2011 MEDICAL & RX BENEFITS SCHEDULE OF BENEFITS MEDICAL BENEFITS COVERED SERVICE/PLAN IN-NETWORK OUT-OF-NETWORK CATEGORY
Primary Care Physician: Have you had physical therapy during this calendar year? Yes No
Name: Date of Birth: Primary Care Physician: Referring Physician: Have you had physical therapy during this calendar year? Yes No Have you had occupational therapy during this calendar year? Yes No If
INTERN LOGBOOK. 1. Personal Details of Intern. Name... Date commencement (DD/MM/YY).. RMDC Provisional License No. Internship Center. Department:..
INTERN LOGBOOK 1. Personal Details of Intern Name..... Date commencement (DD/MM/YY).. RMDC Provisional License No. Internship Center. Department:.. 2. Requirements for the rotation ( See Annex) 3. Portfolio
Prior Authorization List Effective February 2, 2015
Prior Authorization List Effective February 2, 2015 Prior authorization is required for the following services. Prior authorization is the responsibility of the provider ordering or rendering services
Oregon CPT Preapproval Grid
* The following grid only identifies items that require preapproval from. 11400-11471 Excision benign lesion 15820-15823 Blepharoplasty Notes: If Opthamologist requesting, pre-auth is not required 19316-19318
Louisiana Revised Prior Authorization Requirements
Louisiana Revised Prior Requirements Contact: Ann Kay Logarbo, M.D. Chief Medical Officer, a_logarbo@uhc.com All non-emergency inpatient admissions, including planned surgeries, require prior authorization.
MVP PREMIER PLUS SCHEDULE OF BENEFITS Gold 4 MVP Health Plan, Inc. Embedded Deductible Off Exchange
COST-SHARING Deductible Individual Family Prescription Drug Deductible Individual Family Out-of-Pocket Limit Individual Family OFFICE VISITS Primary Care Visits (or Home Visits) Specialist Visits (or Home
Table of Contents. Part I: Medical Tests for Healthy Living. Part II: Screening and Preventive Care Tests. Preface...xv
Table of Contents Preface...xv Part I: Medical Tests for Healthy Living Chapter 1 Regular Health Exams Are Important... 3 Section 1.1 Healthy Men... 4 Section 1.2 Healthy Women... 9 Section 1.3 Five Minutes
2016 MDwise Excel Network Hoosier Healthwise Medical Services that Require Prior Authorization
2016 MDwise Excel Network Hoosier Healthwise Medical Services that Require Prior Authorization Medical services that require Prior Authorization Type of Service Requires PA Coding All Out of Network services
HealthyBlue Living SM
Deductible, Copays and Dollar Maximums Deductible Fixed Dollar Copays Coinsurance Annual Coinsurance Maximum (ACM) Out of Pocket Maximum - applies to deductibles, copays and coinsurance amounts for all
Jan 30, Dear Provider:
Jan 30, 2015 Dear Provider: Kern Health Systems strives to provide quality and timely services to our members. Recently, KHS made changes to the services included on Prior Authorization Needed list. The
Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2017
HOSPITAL INPATIENT SERVICES Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2017 About this chart: This chart is to be used as a guide only and does not contain
PATIENT REGISTRATION
PATIENT REGISTRATION "Please PRINT clearly and fill out form COMPLETELY and hand all insurance cards for copying ** First Name: Last Name: Middle Initial: Address: Apt #: City: State: Zip: Date of Birth:
North Carolina. North Carolina South Atlantic US Medicare
TM 1998 reimbursement rates for commonly used CPT codes North Carolina EPSDT - Preventive Medicine Services 99381 - New Patient, under 1 year $76.68 $57.40 $45.87 $88.09 99382 - New Patient, 1 through
Diagnostic Tests and Investigations: Monthly Data Submission Guidance. Version 5.1
Diagnostic Tests and Investigations: Monthly Data Submission Guidance Version 5.1 Document Control Version Version 5.1 Date Issued 2 August 211 Document purpose To provide guidance for completion of the
Patient Health Forms
Patient Health Forms All forms MUST be completed and signed prior to seeing the Provider First: M: Last: Email Address: Home Address: Best Phone Number to Reach You: Last 4 of your social security #: Marital
Connecticut Teachers' Retirement Board 2019 Medicare Supplement Plan Benefits -- Administered By Stirling Benefits. General information
Provider access Covered Benefits Deductible General information All providers who accept If covers a charge, then the TRB plan covers that charge The 2019 deductible is $185. The member pays the Part B
Date First Name Middle Name Last Name. SSN Sex Birth Date Height Weight. Marital Status Spouse Name Number of Children. Address City State Zip
PATIENT INFORMATION Date First Name Middle Name Last Name SSN Sex Birth Date Height Weight Marital Status Spouse Name Number of Children Address City State Zip Home Phone Cell Phone Email Emergency Relation
~ 1 - ~ Procedure description. Additional intra-articular injection for arthritis
ANNEXURED PROCEDURES PRE-AUTHORISED UNDER AUSPICES OF MANAGED HEALTHCARE The following elective procedures will be funded from the hospital benefit if done in doctors' rooms, and day clinics. If these
Arteriovenostomy for renal dialysis 39.27, 39.42
Surgery categories NHSN Surgery codes (Reference: NHSN Operative Procedure Category Mappings to ICD-9-CM Codes, October 2010 www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf) Operative aortic aneurysm
Here is the list of journals reviewed by eclips Consult:
Here is the list of journals reviewed by eclips Consult: A Academic Emergency Medicine Acta Anaesthesiologica Scandinavica Acta Obstetricia et Gynecologica Scandinavica Acta Ophthalmologica Acta Orthopaedica
For the people of West Cork and surrounding areas. Information for patients and their families. Bantry Urgent Care Centre
Bantry Urgent Care Centre For the people of West Cork and surrounding areas Information for patients and their families The Bantry Urgent Care Centre is made up of a Local Injury Unit and a Medical Assessment
NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF BENEFITS SUPREME BENEFITS
BENEFIT GUIDE NEW YORK STATE TEAMSTERS COUNCIL HEALTH & HOSPITAL FUND APPENDIX A SCHEDULE OF SUPREME IN NETWORK FEATURES Primary Care Physician Not Required 2 Physician Referrals Not Required 2 Out of
Grouping Revenue Code Description
Pharmacy 0250 General Classification Pharmacy 0251 Generic Drugs Pharmacy 0252 Non-Generic Drugs Pharmacy 0254 Drugs incident to other Diagnostic Services Pharmacy 0255 Drugs incident to Radiology Pharmacy
E-journals Suscribed Under HELINET Consoritum for the Year Dental Faculty. Sl.No. Title Publisher Access Point
1 American Journal of Orthodontics and Dentofacial Orthopedics Elsevier Science Science Direct 2 Anaesthesia and Analgesia Wilkins Wolter Kluwver 3 Archives of Oral Biology Elsevier Science Science Direct
Sutter Health Plus Effective for Calendar Year 2015
Sutter Health Plus Effective for Calendar Year 2015 CPTs CPT Descriptions 2015 Cost Under Deducible (Single Unit) Doctor's Office Visit for a New Patient (Also Urgent Care) 99201 Low Level Visit $99.00
Episodes of Care Risk Adjustment
Episodes of Care Risk Adjustment Episode Types Wave 1 Asthma Acute Exacerbation Perinatal Total Joint Replacement Wave 2 Acute Percutaneous Coronary Intervention COPD Acute Exacerbation Non-acute Percutaneous
For Office Use Only: MA complete Date of Visit / / mm/dd/yyyy. This form must be scanned into the medical record. Do not remove from clinic.
For Office Use Only: MA complete Date of Visit / / mm/dd/yyyy This form must be scanned into the medical record. Do not remove from clinic. UWMC Women s Health Care Center & SCCA Women s Cancer Center
Primary Care Physician: If Yes, where? Current work status: Full-Time Part-Time Self-Employed Unemployed Disability Retired
Name: Date of Birth: Primary Care Physician: Referring Physician: Have you had physical therapy during this calendar year? Yes No Have you had occupational therapy during this calendar year? Yes No If
APR-DRG Description Ave Charge
Abdominal Pain 16,500.25 2.8 6,000.09 Acute & Subacute Endocarditis 15,339.30 3.0 5,113.10 Acute Myocardial Infarction 17,687.46 2.6 6,802.87 Alcohol Abuse & Dependence 19,126.64 4.2 4,553.96 Alcoholic
Date First Name Middle Name Last Name. SSN Sex Birth Date Height Weight. Marital Status Spouse Name Number of Children. Address City State Zip
PATIENT INFORMATION Date First Name Middle Name Last Name SSN Sex Birth Date Height Weight Marital Status Spouse Name Number of Children Address City State Zip Home Phone Cell Phone Email Emergency Relation
Partners in health A Unit of vps Health Care
Medeor Latin. Meaning: I heal World-class healthcare and an unparalleled patient experience. Who are we? We are a multi-speciality, 24x7, family hospital located in the heart of Abu Dhabi. We are committed
5101: of 5 APPENDIX B. Revenue Center Codes Requiring CPT or HCPCS Coding
ACTION: Final ENACTED Appendix 5101:3-2-21 DATE: 03/17/2011 1:51 PM 5101:3-2-21 1 of 5 IV Therapy 0260 General Classification 0261 Infusion Pump 0269 Other IV Therapy Oncology 0280 General Classification
Room and Board - Per Day Charges
At Augusta University Health System, we strive to provide the information you need to understand every aspect of your care. In keeping with this promise, AUHS is providing this price list for our services.
H: Orthopedic Nursing
H: Orthopedic Nursing Alberta Licensed Practical Nurses Competency Profile 87 Competency: H-1 Knowledge of H-1-1 H-1-2 H-1-3 H-1-4 H-1-5 Demonstrate knowledge of human anatomy and physiology, specifically
Adult Health History for New Patient
Adult Health History for New Patient Name: Birth Date: Today s Date: Preferred Pharmacy (name and location): Your answers on this form will help your health care provider get an accurate history of your
Cover Comparison for AAMI Health Insurance Basic Hospital Plus
Cover Comparison for AAMI Health Insurance Basic Hospital Plus Summary of changes effective 1 April 2019 Product AAMI Health Insurance Basic Hospital Plus (previously AAMI Health Insurance Starter Hospital)
Now iknow SM : Frequently Asked Questions
Now iknow SM : Frequently Asked Questions Overview Beginning December 2013, Harvard Pilgrim in partnership with Castlight Health, a leader in health care transparency will introduce a new online health
ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM A. EXECUTIVE HEALTH SCREENING PACKAGES
ASIAN HOSPITAL AND MEDICAL CENTER SERVICES AVAILABLE AT 0% INSTALLMENT ON 3 MONTHS TERM A. EXECUTIVE HEALTH SCREENING PACKAGES PACKAGE NAME TOTAL PACKAGE COST Prevention Package Male (below 40 years old)
INGO ARMENIA ICJSC Medical Insurance Program Tariffs and coverage. Programs. Insurance cover. (prices are in AMD) 1.Classic 2. Global 3.
INGO ARMENIA ICJSC Medical Insurance Program Tariffs and coverage Insurance cover Programs (prices are in AMD) 1.Classic 2. Global 3. Exclusive Insurance limit 3 000 000 3 500 000 5 000 000 Emergency ambulance
Radiology. General radiology department. X-ray
The radiology directorate provides a diagnostic, interventional and therapeutic service for its local population, and a tertiary service for the region. It also provides support to some national work such
Jones Co. Jr. College Sports Medicine Medical History Questionairre
Jones Co. Jr. College Sports Medicine Medical History Questionairre DEMOGRAPHIC INFORMATION Full Name: Social Security #: - - Date of Birth: Sport: Year in School: Home Phone #: Cell Phone #: Parent/Guardian
Comprehensive Patient History Form
Comprehensive Patient History Form Date: Name: D.O.B. Past Medical History: (check all that apply) Acid Reflux Cataracts Heart disease Migraines Alcohol or Drug Problem Colitis/Crohns Heart valve problems
Please list any medications you currently taking along with dosage and directions (including birth control, vitamins and OTC medications):
Name: DOB: Date of Appointment: Please list all doctors you currently see (Primary Care Physician and Specialists i.e. Cardiologist): Please list any medications you currently taking along with dosage
Arizona Clover Health Choice PPO (040) 2019 Medical Benefits
Arizona 2019 Medical Benefits Effective Date: 1/1/2019 Version 1.0 Part D Deductible For Part D Copay information, see page 26. /year for Part D prescription drugs /year for Part D prescription drugs Out-of-Pocket
No 10% Co-payment No waiting period No VAT. International Student Health Plan Benefit Booklet
2017 No 10% Co-payment No waiting period No VAT International Student Health Plan Benefit Booklet Contents 04 Value Add Benefits 4-5 ISS Health Plan Benefit 6 Managed Care Program 9 Additional Notes 10
Selected tables standardised to Segi population
Selected tables standardised to Segi population LIST OF TABLES Table 4.2S: Selected causes of death, all-ages, 2000 2004 (Segi Standard) Table 5.3S: Public hospitalisations by major cause of admission
S e l f N E T
2018 SelfNET 2018 What determines your decision to join a medical aid? At Selfmed we cut straight to the Is it the add-on s, you know the free gym membership and movie tickets or, is it the reliable and
Phillips Brayford Orthopaedics 48 Tunnel Rd, Suite 203 Pottsville PA Phone: Fax: PATIENT INFORMATION
PATIENT INFORMATION Name: Date of Birth: Family Physician: Referring Physician: Height: Weight: Marital Status: Single Married Separated Widowed Divorced Employment Status: Employed Unemployed Disabled
99202 Office visit new patient, problem expanded $ Smoking and tobacco use cessation counseling visit $37.30
MILBRIDGE MEDICAL CENTER FAMILY PRACTICE 24 SCHOOL ST, MILBRIDGE ME 99202 Office visit new patient, problem expanded $140.90 99406 Smoking and tobacco use cessation counseling visit $37.30 99397 Preventive
Adult Health History
Patient Name Date of Birth Adult Health History This form will assist us in obtaining a complete medical history and health record on you. By completing this ahead of time it will also simply your visit
Adult Health History for NEW Patients
Adult Health History for NEW Patients Your answers on this form will help your health care provider get an accurate history of your medical concerns and conditions. If you are a current patient there is
Employed? Yes No Employer Name. Occupation. Problem Onset Frequency Severity E.g. Headaches June times per week Mild / Moderate / Severe
PLEASE NOTE: This file must be saved to your desktop before and after completing! PATIENT INFORMATION Date First Name SSN Sex Marital Status Middle Name Birth Date Last Name Height Spouse Name Address
Tusculum College. Benefit Summary Option/Quote: 2. 30% after Deductible. $35 Copay. 30% after Deductible
Benefit Plan Features: Annual Deductible Effective Date: 4/1/2018 Network: S Benefit Summary Option/Quote: 2 Your Cost In-Network Individual/Family $1250/$2500 Annual Out-of-Pocket Maximum Tusculum College
OhioHealth Orthopedic & Sports Medicine Physicians
Page 1 of 6 OhioHealth Orthopedic & Sports Medicine Physicians 335 Glessner Avenue, Mansfield, Ohio 44903 PATIENT INTAKE ASSESSMENT OFFICE USE ONLY Fax to: OR Control 419-520-2831 For Joint Replacement