The medical necessity criteria set forth below do not apply to health plans that specifically exclude services and supplies for or related to treatment of obesity or for diet or weight control. Under these plans, claims for weight loss drugs will be denied based on this exclusion. For weight ...
The proposed model could be regarded as a tool that by necessity is simplified. The tool should not be interpreted as if all research fulfills all the characteristics in the model; rather, the tool illustrates the potentials with gender research. Whereas gender research questions the dominating ...