Common use of Non-Plan Providers Clause in Contracts

Non-Plan Providers. Plan will not cover services and supplies received by Members from Providers who are not in the selected Plan Network unless: (a) they are Emergency Services or Out-of-Area Urgent Care Services; or

Appears in 4 contracts

Samples: Sharp Health Plan Group Agreement, Sharp Health Plan Group Agreement, Sharp Health Plan Group Agreement

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Non-Plan Providers. Plan will not cover services and supplies received by Members from Providers who are not in the selected Plan Network unless: (a) they are Emergency Services or Out-of-Area Urgent Care Services; oror (b) there is Authorization from Plan.

Appears in 1 contract

Samples: California Health Benefit

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Non-Plan Providers. The Plan will not cover services and supplies Benefits received by Members from Providers who are not in the selected Plan Network unless: (a) they are Emergency Services or Out-of-Out of Area Urgent Care Services; or

Appears in 1 contract

Samples: Sharp Health Plan Group Agreement

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