Common use of Covered Benefits include outpatient and inpatient services Clause in Contracts

Covered Benefits include outpatient and inpatient services. If a Member requires ongoing care from a Specialist, the Member may receive a standing Referral to such Specialist. If PCP in consultation with a HMO Medical Director and an appropriate Specialist determines that a standing Referral is warranted, the PCP shall make the Referral to a Specialist. This standing Referral shall be pursuant to a treatment plan approved by the HMO Medical Director in consultation with the PCP, Specialist and Member. Member may request a second opinion regarding a proposed surgery or course of treatment recommended by Member's PCP or a Specialist. Second opinions must be obtained by a Participating Provider and are subject to pre-authorization. To request a second opinion, Member should contact their PCP for a Referral.

Covered Benefits include outpatient and inpatient services. If a Member requires ongoing care from a Specialist, the Member may receive a standing Referral to such Specialist. If PCP in consultation with a HMO Medical Director and an appropriate Specialist determines that a standing Referral is warranted, the PCP shall make the Referral to a Specialist. This standing Referral shall be pursuant to a treatment plan approved by the HMO Medical Director in consultation with the PCP, Specialist and Member. Member may request a second opinion regarding a proposed surgery or course of treatment recommended by Member's ’s PCP or a Specialist. Second opinions must be obtained by a Participating Provider and are subject to pre-authorization. To request a second opinion, Member should contact their PCP for a Referral.

Covered Benefits include outpatient and inpatient services. If a Member requires ongoing care from a Specialist, the Member may receive a standing Standing Referral to such Specialist. If PCP in consultation with a HMO Medical Director and an appropriate Specialist determines that a standing Standing Referral is warranted, the PCP shall make the Referral to a Specialist. This standing Standing Referral shall be pursuant to a treatment plan approved by the HMO Medical Director in consultation with the PCP, Specialist and Member. Member may request a second opinion regarding a proposed surgery Surgery or course of treatment recommended by Member's PCP or a Specialist. Second opinions must be obtained by a Participating Provider and are subject to pre-authorization. To request a second opinion, Member should contact their PCP for a Referral.

Covered Benefits include outpatient and inpatient services. If a Member requires ongoing care from a Specialist, the Member may receive a standing Referral to such Specialist. If PCP in consultation with a an HMO Medical Director and an appropriate Specialist determines that a standing Referral is warranted, the PCP shall make the Referral to a Specialist. This standing Referral shall be pursuant to a treatment plan approved by the HMO Medical Director in consultation with the PCP, Specialist and Member. Member may request a second opinion regarding a proposed surgery or course of treatment recommended by Member's PCP or a Specialist. Second opinions may be obtained on referral from the Member's PCP. Requests for second opinions from non-participating Providers must be obtained by a Participating Provider and are subject to pre-authorization. To request a second opinion, Member should contact their PCP for a Referralauthorized.

Covered Benefits include outpatient and inpatient services. If a Member requires ongoing care from a Specialist, the Member may receive a standing Referral to such Specialist. If PCP in consultation with a an HMO Medical Director and an appropriate Specialist determines that a standing Referral is warranted, the PCP shall make the Referral to a Specialist. This standing Referral shall be pursuant to a treatment plan approved by the HMO Medical Director in consultation with the PCP, Specialist and Member. Member may request a second opinion regarding a proposed surgery or course of treatment recommended by Member's PCP or a Specialist. Second opinions must be obtained by a Participating Provider and are subject to pre-authorization. To request a second opinion, Member should contact their PCP for a Referral.