Not use gross charges and limit the amounts charged for emergency or other medically necessary care
provided to individuals eligible under the FAP to not more than the amounts generally billed (AGB) to individuals who have insurance covering such care; and
If employees have to bear more of the cost, will they skimp on medically necessary care
, curtail the use of less valuable services, or both?
Chrysler Group's 100 percent rating also signifies coverage for transgender individuals for medically necessary care
- a community the HRC notes has historically been overlooked.
I am asking TRICARE to provide access to medically necessary care
for my child in order for him to improve.
2) In addition to potentially harming the patient through delayed direct medical care, delays in obtaining prior approval to commence care or a coverage decision regarding medically necessary care
can result in frustration, concern and professional dissatisfaction for the provider.
That is defined as equal health coverage for transgender individuals without exclusion for medically necessary care
, without blanket exclusions, and based on the World Professional Association for Transgender Health Standards of Care.
What most do not realize is that the vast majority of long-term care is not skilled, medically necessary care
, but custodial care--meaning nonmedical care.
It pays only for medically necessary care
in a skilled nursing facility or home health care.
Under this provision, no detail is given as to what is considered "other medically necessary care
Anthem, a class-action suit by nonphysician providers against insurance companies, charging that the companies conspired to systematically underpay providers and deny medically necessary care
Many prisons, for example, use restrictions to limit treatment eligibility and avoid the cost of medically necessary care
Romanow states that "essential health care services must be available to all Canadians on the basis of need and need alone" (27) and argues the health care system currently falls below what a truly comprehensive, publicly insured system of medically necessary care