Maxicare

A Medical Service, as determined by Maxicare, which is (a) consistent with the diagnosis and customary medical treatment of the condition, (b) in accordance with the standards of managed care and good medical practice, (c) not for the convenience of the Member or the Affiliated Physician or Specialist, (d) performed in the most cost effective manner required by the medical condition and (e) consistent with the terms and conditions of this Agreement.