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2.23.02 The term 'insurer' includes any person, entity, or governmental unit providing a plan of self- insurance. ) The terms 'policy', 'insurance policy', 'health insurance policy', and 'Group Health Insurance policy' include plans of self-insurance providing health insurance benefits. 2.24 Health Professionals means physicians, osteopaths, podiatrists, chiropractors, physician assistants, nurses, social workers, pharmacists, optometrists, clinical psychologists, nutritionists, occupational therapists, physical therapists, and other professionals engaged in the delivery of health care services who are licensed and practice under an institutional license, individual practice association, or other authority consistent with State law. 2.23.03 2.25 Home Health Care Services (Skilled Home Health Care) means services that are provided for a Member who does not require conlinement in a Hospital or Other Health Care Facility. Such services include, but are not limited to, the services of professional visiting nurses or other health care personnel for services covered under this Contract. A visit is limited to a period of2 hours or less. 2.26 Hospice means a public agency or private organization that is duly licensed by the State to provide Hospice services. Such licensed cntity must be principally engaged in providing pain relief, symptom management, and supportive services to terminally ill Members. 2.27 Hospital means any general acute care facility which is licensed by the State. 2.28 Hospital Based Providers are defined as emergency room physicians, pathologists, radiologists and anesthesiologists. 2.29 Hospital Services (except as expressly limited or excluded by this Contract) means those services for registered bed patients that are: Generally and customarily provided by acute care general Hospitals in accordance with the standards of acceptable community practice; Performed, prescribed, or directed by an Attending Physician; and Medically Necessary for conditions which cannot be adequately treated in Other Health Care Facilities or with Home Health Care Services or on an ambulatory basis. 2.30 Hospitalist/Admitting llanclist means a physician who specializes in treating inpatients and who may coordinate a Member's health care when the Member has been admitted for a Medically Necessary procedure or treatment at a Hospital. 2.29.01 2.29.02 2.29.03 ) 2.31 Injectable Medication means a medication that has been approved by the Food and Drug Administration (FDA) for administration by one or more of the following routes: intramuscular injection, intravenous injection, intravenous infusion, subcutaneous injection, intrathecal injection, intrarticular injection, intracavernous injection or intraocular injection. Pre-authorization is required for Injectable Medications. 2.32 Limitation means any provision (other than Exclusions) which restricts coverage under this Contract. 2.33 . Master Application means the Subscribing Group application form entitled 'Master Application' which becomes a part of the Contract when the Master Application has been completed and executed by the Subscribing Group and AvMed. 2.34 Maximum Allowable Payment means the maximum amount that AvMed will pay for any covered service rendered by a Non-participating Provider or supplier of services, medications, or supplies. The maximum amount that AvMed will pay for each such covered service can be found on the Maximum Allowable Payment Schedule available at www.avmed.org . 2.35 Medical Office means a physician's office. 5 A V-GI01CE-2009 MP-5320 (10/09)