Physical Therapy Treatment for a patient whose muscles do not function due to illness or injury. The treatment is intended to restore or improve the patient's use of the specific muscles or joints, usually through exercise and therapy. Be given by or under the supervision of a physician or a licensed physical therapist. Be given for a condition which is capable of significant improvement in a reasonable and generally predictable period of time. Physician A person legally qualified and licensed to practice medicine and perform surgery.
Predetermination also applies to outpatient foot surgery.
Any physical or mental condition which was present during the 180-day period immediately before your coverage took effect. Rider A legal document which amends a Certificate by adding, limiting or clarifying benefits. Semi-Private Room A hospital room with two beds. Services Care, procedures and supplies given by a health provider to diagnose or treat medical conditions. Cause the person to lose self-control.