Common use of Limitations on Selection of Providers Clause in Contracts

Limitations on Selection of Providers. If a Covered Person is receiving Health Services in a harmful or abusive quantity or manner or with harmful frequency, as determined by The Company and wishes to obtain Network Benefits, he or she may be required to select a single Network Physician and a single Network Hospital (with which the single Network Physician is affiliated) to provide and coordinate all future Health Services.

Appears in 2 contracts

Sources: Medical Insurance Policy, Individual Medical Insurance Policy

Limitations on Selection of Providers. If a Covered Person is receiving Health Services from Providers in a harmful or abusive quantity or manner or with harmful frequency, as determined by The Company and wishes to obtain Network Benefitsthe Company, he or she may be required to select a single Network Physician and a single Network Hospital (with which the single Network Physician is affiliated) to provide and coordinate all future Health Services. All additional provisions indicated in Section 6.3 shall be applicable.

Appears in 1 contract

Sources: Individual Medical Insurance Policy

Limitations on Selection of Providers. If a Covered Person is receiving Health Services from Providers in a harmful or abusive quantity or manner or with harmful frequency, as determined by The Company and wishes to obtain Network BenefitsCompany, he or she may be required to select a single Network Physician and a single Network Hospital (with which the single Network Physician is affiliated) to provide and coordinate all future Health Services. All additional provisions indicated in Section 6.3 shall be applicable.

Appears in 1 contract

Sources: Medical Insurance Policy