Common use of NETWORK BENEFIT Clause in Contracts

NETWORK BENEFIT. Mental Health Coverage • Paid-in-full medically necessary hospital services and inpatient physician charges when provided by, or arranged through, the network; • Effective April 1, 2010, outpatient care provided by, or arranged through, the network will be covered subject to a $20 per visit copayment; • Up to three visits for crisis intervention provided by, or arranged through, the network will be covered without copay. - Alcohol and Other Substance Abuse Coverage • Paid in full medically necessary care for hospitalization or alcohol/substance abuse facilities when provided by, or arranged through, the network; • Outpatient care provided by, or arranged through, the network will be subject to the participating provider office visit copayment. - Benefit Maximums • Effective January 1, 2010 medically necessary inpatient alcohol and substance abuse treatment will be unlimited.

NETWORK BENEFIT. Mental Health Coverage •  Paid-in-full medically necessary hospital services and inpatient physician charges when provided by, or arranged through, the network; •  Effective April 1, 2010, outpatient care provided by, or arranged through, the network will be covered subject to a $20 per visit copayment; • .  Up to three visits for crisis intervention provided by, or arranged through, the network will be covered without copay. - Alcohol and Other Substance Abuse Coverage •  Paid in full medically necessary care for hospitalization or alcohol/substance abuse facilities when provided by, or arranged through, the network; •  Outpatient care provided by, or arranged through, the network will be subject to the participating provider office visit copayment. - Benefit Maximums •  Effective January 1, 2010 medically necessary inpatient alcohol and substance abuse treatment will be unlimited.