In most HMO plans, members choose a primary care physician (PCP). The PCP is from the health plan's provider network. The PCP gives routine care and refers members to network doctors if special care is needed. Health maintenance organization (HMO) (Medicare) This is a type of health plan...
This material is for information only. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Information is believed to be accurate as of the production date; however, it is subject to cha...
Member must meet either criterion 1 (physician-supervised nutrition and exercise program) or criterion 2 (multi-disciplinary surgical preparatory regimen) If Your Policy Does NOT Cover It: Seek Partial Coverage You may be able to get part of the costs paid for by insurance even if weight loss ...
calculated anesthesia rate or CRNA and supervising physician. In the March 2010 issue, we noted that beginning June 1, 2010 Aetna will pay mid-level practitioners at 85 percent* o the contracted rates or covered pro essional services. This is consistent with the Centers or Medicare & Medicai...
Approximately 50 % required 3 or fewer re-treatments to maintain satisfactory correction (determined by patient and physician). Milder facial lipoatrophy (james scale score 1 to 2) on initial presentation required fewer re-treatments and had more sustained correction. Time to first re-treatment ...
(unfixed) tumor biopsy tissue. Usually, a single-needle core is sufficient. Results will be delivered to the ordering physician within 48 hours of specimen receipt. Additional therapeutic regimens and tumor types will be validated as data from late-stage clinical trials continue to accrue. Ongoing...
Clinical assessments included the proportion of patients achieving a Physician's Global Assessment of cleared/minimal (PGA 0/1), at least 75% improvement in Psoriasis Area and Severity Index (PASI 75), and at least 90% in PASI (PASI 90). Adverse events (AEs) were monitored through week 60...
A copy of the SLP's written evaluation and recommendation have been forwarded to the member's treating physician prior to ordering the device;and Other forms of treatment have been considered and ruled out;and The member’s medical condition is one resulting in a permanent severe expressive speec...
This material is for information only. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Information is believed to be accurate as of the production date; however, it is subject to...