Non-Network definition
Examples of Non-Network in a sentence
For more information, please see the How Non-Network Providers Are Paid section.
Non-Network Benefits 55% of the charges incurred, after you pay the deductible.
For detailed information about these special circumstances, please see How Non-Network Providers are Paid in Section 6.
We shall not be liable for any inappropriate treatment provided to a [Member] by a health care professional who is no longer employed by or under contract with Us If We refer a [Member] to a [Non-Network] provider, the service or supply shall be covered as a [Network] service or supply.
If the [Member] elects to continue treatment with Non-Network Providers, We shall have no responsibility for payment beyond the date the [Member] is Determined to be medically able to be transported.
In the event a [Member] is Hospitalized in a Non-Network Facility, coverage will only be provided until the [Member] is medically able to travel or to be transported to a Network Facility.
Non-Contracting and Facility Other Providers will pay the same as Non-Network.
In the instance of an Emergency, the fact that a Non-Network Provider prescribes, orders, recommends or approves the care, the level of care, or the length of time care is to be received, does not make the services Medically Necessary and Appropriate.
The Contractor shall provide for a second opinion from a qualified Network Provider, or arrange for the Enrollee to obtain one from a Non-Network Provider, at no cost to the Enrollee.
The Contractor is responsible for these services regardless of whether the psychiatrist rendering the services is a Non-Network Provider.