Coverage Services Clause Samples

Coverage Services. Hospital shall pay to Contractor an amount equal to Six Hundred Twenty-Four Dollars ($624) per Shift for Coverage Services provided pursuant to this Agreement (the “Coverage Stipend”); provided, however, that Contractor is in compliance with the terms and conditions of this Agreement. For avoidance of doubt, a “Shift” shall mean a shift that commences on 8:00 am and ends at 7:59 am the next day, regardless of the day of the week.

Coverage Services. Physician will provide the following services (the “Coverage Services”) for adult patients (patients 18 years or age or older): a. Conduct Department of Transportation (DOT) physical examination per the requirements of the Federal Motor Carrier Safety Administration.

Coverage Services. The Physician will provide the Coverage Services as more fully set forth in Exhibit A in accordance with the service standards set forth there, which is incorporated into this Agreement.

Coverage Services. Practitioner shall be available on an on-call basis to provide Specialty medical care and treatment to ED Patients and consults for in-hospital patients, including intensive care unit (“ICU”) patients (“Coverage Services”), upon the terms and subject to the conditions set forth in this Agreement.

Coverage Services. Hospital shall pay to Contractor an amount equal to Four Thousand Dollars ($4,000) per Shift of Coverage Services provided pursuant to this Agreement, provided, however, that Contractor is in compliance with the terms and conditions of this Agreement. The Coverage Services stipend is inclusive of travel expenses, Contractor shall not receive additional reimbursement for travel expenses.

Coverage Services. For Medicare Parts A and B beneficiaries, the following factors will be considered to determine the Coverage to be offered: ● Beneficiaries eligible to Part A: ü They will be offered the regular MI Salud coverage, excluding the benefits covered by Part A until they reach their limit. In other words, once you reach the benefit limit of Medicare Part A coverage, Mi Salud will be activated. ü Part A deductibles are not included. ü The payment of deductibles for the regular coverage will be according to the payment capacity table provided to all Mi Salud beneficiaries. ● Beneficiaries eligible to Parts A/B: ü They are offered the regular Mi Salud pharmacy and dental coverage. ü Part A deductibles are not included. ü Part B Deductibles and copayments will be included. Chronic Disease Management Triple S Salud has programs that will help you control your chronic diseases, such as Diabetes Mellitus, Hypertension, and Congestive Heart Failure (CHF). Obesity, Kidney Failure and Bronchial Asthma. To benefit from these programs you may call at ▇-▇▇▇-▇▇▇-▇▇▇▇. Triple S has a nursing and nutritionist staff available to manage your condition in coordination with the primary care physician. Case Management Triple S Salud has a Case Management Program, which is designed to help you with the coordination of medically necessary services for high cost conditions or catastrophic diseases. This program has a staff of nurses, social workers and nutritionists to assist you. You physician, the hospital staff, your family or you may seek help through this program by calling at (▇▇▇)▇▇▇-▇▇▇▇. Special Condition Registry Your primary care physician, the personnel designated by the Primary Medical Group or the case coordinator of the Primary Medical Group can instruct you on the conditions that qualify for the special coverage. Any of them can help you to be included in the Special Coverage by sending all the necessary information on your medical condition to Triple-S Salud to the fax number (▇▇▇) ▇▇▇-▇▇▇▇. Admissions $0 $3 $0 $3 $5 $6 $20 $50 Nursery $0 $0 $0 $0 $0 $0 $0 $0 Emergency Room (ER) Visit $0 $0 $0 $1 $5 $10 $15 $20 Non-emergency visit to a hospital emergency room. $3.80 $3.80 $0 $15 $15 $15 $15 $20 Trauma $0 $0 $0 $0 $0 $0 $0 $0

Coverage Services. In response to Subscriber’s and/or Subscriber’s patients’ request through the VSDH One Platform and subject to availability, Practice will cause one or more Providers to be available on an on-call basis to provide virtual medical care and treatment via telemedicine on a non-exclusive basis between the hours of 7am and midnight, seven (7) days per week, fifty-two (52) weeks per year. Providers will provide Telemedicine Services to patients in a courteous and prompt fashion, be available and accessible to Subscribers, provide patients with full and meaningful information, and render Telemedicine Services in a manner that assures continuity of care.