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Agenda - 06-28-1989
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Agenda - 06-28-1989
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3/10/2017 4:29:57 PM
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BOCC
Date
6/28/1989
Meeting Type
Regular Meeting
Document Type
Agenda
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36 <br /> provider unless ordered by a Member's Participating Physician with <br /> the Plan's prior written approval, except in an Emergency. <br /> (Please see Section V and VI). <br /> 13. The expense of fitting or purchasing hearing aids, eye glasses, or <br /> contact lenses. <br /> 14. Personal convenience services while an inpatient in a Hospital or <br /> other health care facility, such as television, telephone, barber <br /> . <br /> or beauty service, guest services and similar incidental services <br /> and supplies which are not Medically Necessary as part of the care <br /> for the Member. <br /> 15. Services performed by a Member's immediate family including <br /> spouse, brother, sister, parent, or child, for which, in the <br /> absence of any health insurance plan or insurance plan, no charge <br /> would be made to the Member. <br /> 16. Physical examinations, mental evaluations and/or immunisations <br /> required by third party for the purposes of obtaining employment <br /> or insurance or conducted for purposes of medical research. <br /> 17. Treatment provided in a Veterans Hospital, benefits provided under <br /> Medicare or other governmental program (except Medicaid) , or <br /> services for which, in the absence of any health service plan or <br /> insurance plan, no charge would be made to the Member. <br /> 18. Any injury or sickness resulting from war or any act of war <br /> (declared or undeclared) or service in the armed forces of any <br /> country. <br /> 19. Travel and transportation expenses even though prescribed by a <br /> physician, except as provided in Section IV of this Contract. <br /> 20. Outpatient hospital or clinic services (including emergency room <br /> services), unless arranged in advance by a Participating Physician <br /> or necessary because of any Emergency. <br /> 31 <br />
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