Common use of Second Opinions Clause in Contracts

Second Opinions. The Contractor shall have policies and procedures for rendering second opinions by Providers within the network, or by non-participating Providers. Upon request, the Contractor must provide for a second opinion from a qualified health care professional within the network, or arrange for the Member to obtain one outside the network from an Out-of-network Provider, at no cost to the Member.

Second Opinions. The Contractor shall have policies and procedures for rendering second opinions by Providers providers within the network, or by non-participating Providersproviders. Upon request, the Contractor must provide for a second opinion from a qualified health care professional within the network, or arrange for the Member to obtain one outside the network from an Outa Non-of-network Contracted Provider, at no cost to the Member.