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Justyna Jupowicz-Kozak

CEO of Professional Science Editing for Scientists @ prosciediting.com

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when medically necessary

Grammar usage guide and real-world examples

USAGE SUMMARY

The phrase "when medically necessary" is correct and usable in written English.
It can be used in contexts related to healthcare, insurance, or medical procedures to indicate that a certain action or treatment should only be taken if it is deemed essential for a patient's health. Example: "The procedure will be covered by insurance when medically necessary, as determined by the attending physician."

✓ Grammatically correct

News & Media

Science

Wiki

Human-verified examples from authoritative sources

Exact Expressions

13 human-written examples

Patients and physicians each have a role in controlling the cost of health care, which includes assuring that imaging and medical treatments are performed only when medically necessary.

News & Media

Huffington Post

The new rules aimed to ensure antibiotics were only used when medically necessary.

News & Media

The Guardian

Medicaid in Texas does indeed cover expenses for in-home care in most cases when medically necessary.

News & Media

The New York Times

Last month, the World Health Organisation (WHO) warned that caesarean sections should only be performed when medically necessary – no more than about 10%-15 10%-15l births.

In 1998, the United States Department of Health and Human Services said state Medicaid programs that cover prescription drugs must also pay for Viagra when medically necessary.

News & Media

The New York Times

"It is critical that Medicare, and private Part D plan sponsors have the tools they need to ensure that opioids are provided only when medically necessary". -- Yesterday, reporters and TV viewers were treated to an extraordinary and wide-ranging presentation by the White House physician on the state of President Trump's physical and mental fitness.

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Human-verified similar examples from authoritative sources

Similar Expressions

47 human-written examples

Research shows that use of the partograph to manage labor results in better outcomes for mother and baby by increasing timely and appropriate interventions--including CS deliveries--when medically necessary and by avoiding unnecessary CS deliveries when labor is not prolonged [ 32].

That adds to the stress of deciding when to go to specialists or the emergency room, even when it's medically necessary.

News & Media

The New York Times

It has to be pointed out that forgone health care should only be alarming when the health status is affected negatively which most likely tends to be the case when people forgo medically necessary treatments.

The charges included botched labors and failing to perform Caesarean sections when they were medically necessary, resulting in the deaths of two babies, the state says.

News & Media

The New York Times

As James Reston Jr. describes in "When Generosity Is Medically Necessary" (Op-Ed, Aug. 7), the most excruciating part of an organ transplant is the time spent waiting for an organ.

News & Media

The New York Times
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Expert writing Tips

Best practice

Use "when medically necessary" to clarify that a procedure, treatment, or medication should only be administered based on a healthcare professional's evaluation of the patient's specific medical needs. This helps to avoid unnecessary interventions and control costs.

Common error

Avoid using "when medically necessary" redundantly. If the context already implies medical necessity, the phrase can be omitted for conciseness. Instead of saying "the surgery will be performed when medically necessary as determined by the doctor", simply state "the surgery will be performed as determined by the doctor" if the doctor's determination already implies medical necessity.

Antonio Rotolo, PhD - Digital Humanist | Computational Linguist | CEO @Ludwig.guru

Antonio Rotolo, PhD

Digital Humanist | Computational Linguist | CEO @Ludwig.guru

Source & Trust

82%

Authority and reliability

4.5/5

Expert rating

Real-world application tested

Linguistic Context

The phrase "when medically necessary" functions as an adverbial clause, modifying a verb or clause to specify the conditions under which an action should occur. As Ludwig AI confirms, this expression is correct in English and serves to define the circumstances under which a medical action becomes justified.

Expression frequency: Common

Frequent in

News & Media

52%

Science

28%

Wiki

10%

Less common in

Formal & Business

5%

Academia

3%

Reference

2%

Ludwig's WRAP-UP

In summary, "when medically necessary" is a grammatically correct and frequently used phrase that serves to qualify actions in a medical context. As Ludwig confirms, it is suitable for discussions related to healthcare, insurance, and medical procedures. Its primary function is to indicate that an action or treatment should only be considered if it is deemed essential for a patient's health. The phrase is prevalent in news reports, scientific literature, and wiki articles, with the New York Times, the Washington Post and The Guardian being among the most authoritative sources. When writing, ensure that the phrase is used to add clarity, but avoid redundancy. Alternatives such as "when deemed essential for health" or "when required for medical reasons" may be used to vary the phrasing.

FAQs

How can I use "when medically necessary" in a sentence?

You can use "when medically necessary" to specify that a treatment or procedure should only be carried out if a doctor deems it essential for a patient's health. For example: "The insurance company covers the treatment "when medically necessary"."

What are some alternatives to saying "when medically necessary"?

Alternatives include "when deemed essential for health", "when required for medical reasons", or "if deemed medically appropriate", depending on the specific context.

What determines if something is "medically necessary"?

Medical necessity is typically determined by a healthcare professional based on their clinical judgment, considering factors such as the patient's symptoms, medical history, and the potential benefits and risks of the treatment or procedure.

Is there a legal or regulatory definition of "medically necessary"?

The definition of "medically necessary" can vary depending on the context, such as insurance policies or healthcare regulations. Generally, it refers to services or supplies that are needed for the diagnosis or treatment of a medical condition and meet accepted standards of medical practice.

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Source & Trust

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Authority and reliability

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Expert rating

Real-world application tested

Most frequent sentences: