Examples of Medically Necessary in a sentence
We will provide this benefit from the place of Insured Person’s Hospitalization (required for stabilization) to a Hospital where adequate treatment is available, if necessary treatment is not available locally or Medical Evacuation is Medically Necessary for saving the life of the Insured Person.
If Contractor’s network is unable to provide Medically Necessary Covered Services, Contractor must adequately and timely cover these services out of network for the Enrollee, for as long as the entity is unable to provide them.
We will indemnify the Reasonable and Customary Charges for Medical Expenses incurred on the Insured Person’s Medically Necessary and Medically Advised Inpatient Hospitalization during the Policy Period on treatment taken under Ayurveda, Unani, Sidha and Homeopathy (AYUSH) in a government Hospital or in any institute recognized by government and/or accredited by Quality Council of India/National Accreditation Board on Health.
The Contractor must address in its definition of Medically Necessary Covered Services the extent to which it is responsible for covering services related to the prevention, diagnosis, and treatment of health impairments the ability to achieve age-appropriate growth and development, and the ability to attain, maintain, or regain functional capacity.
Compensation to individuals or entities that conduct utilization management activities cannot be structured so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary services to any Enrollee.