PODIATRIST, OPTOMETRIST, PSYCHOLOGIST, PHYSICAL THERAPIST,
CERTIFIED NURSE PRACTITIONER, REGISTERED NURSE, NURSE MIDWIFE,
PHYSICIAN'S ASSISTANT, CHIROPRACTOR, PHARMACIST OR AN INDIVIDUAL
ACCREDITED OR CERTIFIED TO PROVIDE BEHAVIORAL HEALTH SERVICES.
THE TERM INCLUDES AN INDIVIDUAL PROVIDING EMERGENCY SERVICES
UNDER A LICENSED EMERGENCY MEDICAL SERVICES AGENCY AS DEFINED IN
35 PA.C.S. § 8103 (RELATING TO DEFINITIONS).
"HEALTH CARE SERVICE." A COVERED TREATMENT, ADMISSION,
PROCEDURE, MEDICAL SUPPLIES AND EQUIPMENT OR OTHER SERVICE,
INCLUDING BEHAVIORAL HEALTH, PRESCRIBED OR OTHERWISE PROVIDED OR
PROPOSED TO BE PROVIDED BY A HEALTH CARE PROVIDER TO A COVERED
PERSON FOR THE DIAGNOSIS, PREVENTION, TREATMENT, CURE OR RELIEF
OF A HEALTH CONDITION, ILLNESS, INJURY OR DISEASE UNDER THE
TERMS OF HEALTH INSURANCE POLICY.
"HEALTH INSURANCE POLICY." A POLICY, SUBSCRIBER CONTRACT,
CERTIFICATE OR PLAN ISSUED BY AN INSURER THAT PROVIDES MEDICAL
OR HEALTH CARE COVERAGE, INCLUDING A DENTAL INSURANCE POLICY.
THE TERM DOES NOT INCLUDE ANY OF THE FOLLOWING:
(1) AN ACCIDENT ONLY POLICY.
(2) A CREDIT ONLY POLICY.
(3) A LONG-TERM CARE OR DISABILITY INCOME POLICY.
(4) A SPECIFIED DISEASE POLICY.
(5) A MEDICARE SUPPLEMENT POLICY.
(6) A TRICARE POLICY, INCLUDING A CIVILIAN HEALTH AND
MEDICAL PROGRAM OF THE UNIFORMED SERVICES (CHAMPUS)
SUPPLEMENT POLICY.
(7) A FIXED INDEMNITY POLICY.
(8) A HOSPITAL INDEMNITY POLICY.
(9) A WORKERS' COMPENSATION POLICY.
(10) AN AUTOMOBILE MEDICAL PAYMENT POLICY UNDER 75
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