Common use of Services After Termination of Agreement Clause in Contracts

Services After Termination of Agreement. 1. Members Hospitalized on the Date of Termination. A Member who is receiving Covered Services as a registered bed patient in a hospital on the date of termination shall continue to be eligible for Covered Services while an inpatient for the condition which the Member was hospitalized, until one of the following events occurs: • According to GHC clinical criteria, it is no longer Medically Necessary for the Member to be an inpatient at the facility. • The remaining benefits available under the Agreement for the hospitalization are exhausted, regardless of whether a new calendar year begins. • The Member becomes covered under another agreement with a group health plan that provides benefits for the hospitalization. • The Member becomes enrolled under an agreement with another carrier that would provide benefits for the hospitalization if the Agreement did not exist. • The Member becomes eligible for Medicare. This provision will not apply if the Member is covered under another agreement that provides benefits for the hospitalization at the time coverage would terminate, except as set forth in this section, or if the Member is eligible for COBRA continuation coverage as set forth in subsection G. below.

Services After Termination of Agreement. 1. Members Hospitalized on the Date of Termination. A Member who is receiving Covered Services as a registered bed patient in a hospital on the date of termination shall continue to be eligible for Covered Services while an inpatient for the condition which the Member was hospitalized, until one of the following events occurs: • According to GHC clinical criteria, it is no longer Medically Necessary for the Member to be an inpatient at the facility. • The remaining benefits available under the Agreement for the hospitalization are exhausted, regardless of whether a new calendar year begins. • The Member becomes covered under another agreement with a group health plan that provides benefits for the hospitalization. • The Member becomes enrolled under an agreement with another carrier that would provide benefits for the hospitalization if the Agreement did not exist. • The Member becomes eligible for Medicare. This provision will not apply if the Member is covered under another agreement that provides benefits for the hospitalization at the time coverage would terminate, except as set forth in this section, or if the Member is eligible for COBRA continuation coverage as set forth in subsection G. below.

Services After Termination of Agreement. 1. Members Hospitalized on the Date of Termination. A Member who is receiving Covered Services as a registered bed patient in a hospital on the date of termination shall continue to be eligible for Covered Services while an inpatient for the condition which the Member was hospitalized, until one of the following events occurs: •  According to GHC clinical criteria, it is no longer Medically Necessary for the Member to be an inpatient at the facility. •  The remaining benefits available under the Agreement for the hospitalization are exhausted, regardless of whether a new calendar year begins. •  The Member becomes covered under another agreement with a group health plan that provides benefits for the hospitalization. •  The Member becomes enrolled under an agreement with another carrier that would provide benefits for the hospitalization if the Agreement did not exist. • The Member becomes eligible for Medicare. This provision will not apply if the Member is covered under another agreement that provides benefits for the hospitalization at the time coverage would terminate, except as set forth in this section, or if the Member is eligible for COBRA continuation coverage as set forth in subsection G. below.