Benefits Handbook

MMC Benefits Handbook

Services performed by a provider who is a family member by birth or marriage, including spouse, brother, sister, parent or child. This includes any service the provider may perform on himself or herself.
Services performed by a provider with your same legal residence
Services provided at a free-standing or hospital-based diagnostic facility without an order written by a physician or other provider. Services that are self-directed to a free-standing or hospital-based diagnostic facility. Services ordered by a physician or other provider who is an employee or representative of a free-standing or hospital-based diagnostic facility, when that physician or other provider:
Has not been actively involved in your medical care prior to ordering the service, or
Is not actively involved in your medical care after the service is received.