Non-Network definition

Non-Network means any hospital, day care centre or other provider that is not part of the network.

Non-Network or “Out-of-Network” shall mean the facilities, Providers and suppliers that do not have an agreement with a designated Network to provide care to Participants.

Non-Network means any hospital, day care centre or other provider that is not part of the list of Network.

Examples of Non-Network in a sentence

• The Plan provides different levels of benefits based on whether the Provider Participants use is a Network or Non-Network Provider.

• Unless one of the exceptions shown below applies, if a Participant elects to receive medical care from the Non-Network Provider, the benefits payable are generally lower than those payable when a Network Provider is used.

• If the charge billed by a Non-Network Provider for any covered service is higher than the Usual and Customary fees determined by the Plan, Participants are responsible for the excess unless the Provider accepts assignment of benefits as consideration in full for services rendered.

• Preventive Care services will be covered at 100% for Non-Network Providers if there is no Network Provider who can provide a required preventive service.

• Non-Network Pharmacy – In Emergency cases and when prescription benefits are not available In- Network, non-network pharmacies may be used.

• Except as outlined in “No Surprises Act – Emergency Services and Surprise Bills” below, if the charge billed by a Non-Network Provider for any covered service is higher than the Maximum Allowable Charge determined by the Plan, Participants are responsible for the excess unless the Provider accepts assignment of benefits as consideration in full for services rendered.

• How to Obtain Prescription Drug Benefits How you obtain your benefits depends upon whether you go to a Network or a Non-Network Pharmacy.

• Claims subject to the NSA are those which are submitted for: • Emergency Services;• Non-emergency services rendered by a Non-Network Provider at a Participating Health Care Facility provided the Participant has not validly waived the applicability of the NSA; and• Covered Non-Network air ambulance services.

• For Non-Network claims subject to the No Surprises Act (“NSA”), Participant cost-sharing will be the same amount as would be applied if the claim was provided by a Network Provider and will be calculated as if the Plan’s Covered Expense was the Recognized Amount, regardless of the Plan’s actual Maximum AllowableCharge.

• The Network Provider level of benefits is payable when a Participant receives emergency care either Out of Area or at a Non-Network Hospital for an Accidental Bodily Injury or Emergency.

More Definitions of Non-Network

Non-Network or “Out‐of‐Network” shall mean the facilities, Providers and suppliers that do not have an agreement with a designated Network to provide care to Participants.

Non-Network means any hospital, day care centre or other provider that is not part of the network “Network Hospitals” All such Hospitals/Nursing Home, day care centers or other providers that the Insurance company / TPA have mutually agreed with, to provide services like cashless access to policy holders. The list is available with the Insurer / TPA and subject amendment from time to time. “Nominee/s” is/are the person named by you in the proposal form as the nominee/s shall be the person to whom the benefits (if applicable) shall be paid under this policy, in the event of Proposer's death. Such nomination only indicates the person, who is authorized to receive the amount of benefit on the payment of which, we will receive a valid discharge of our labiality under the policy. Change in nomination, if any, may be made by you at any time during the term of the policy and the same must be registered with us. The nominee's right arises only in the event of the death of the policy holder.

Non-Network. Any hospital, day care centre or other provider that is not part o f the network. “Notification of claim” is the process of notifying a claim to the insurer or TPA by specifying the timelines as well as the address / telephone number to which it should be notified.

Non-Network means healthcare Providers that are not Network.

Non-Network. Provider means any hospital, day-care centre or other provider that is not part of the network.

Non-Network means Any hospital, daycarecentre or other provider that isnot part ofthenetwork.