Non-Participating Hospital definition

Non-Participating Hospital means an Administrator Hospital that does not meet the definition of a Participating Hospital.
Non-Participating Hospital means a Plan Hospital that does not meet the definition of a Participating Hospital.

Examples of Non-Participating Hospital in a sentence

  • Covered Expenses incurred for the treatment of an Emergency Medical Condition provided in the emergency department of a Non-Participating Hospital are covered as described in the benefit schedule.

  • You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital.

  • If admitted, the Inpatient Co-payment would then apply.If a Member is admitted to a Non-Participating Hospital for stabilization of an Emergency Medical Condition, the Plan may require that the Member be transferred to a Participating Hospital as soon as medically feasible in order to receive In-Network benefits.

  • In 2009, in [80-90]*% of all tenders where Syniverse made a bid, Mach was the only other bidder.

  • By the spring semester of 1996, the instrument was administered to over ten thousand US high school and university students, and validated for surveying student views about knowing and learning science (and mathematics) and assessing the impact of these views on course achievement (§3).

  • You, or someone on Your behalf, must call Us within 48 hours after Your admission to a Non-Participating Hospital for Emergency Care.

  • Members who receive Inpatient Hospital care from a Non-Participating Hospital or services that were not coordinated through the BlueCard Worldwide Service Center may have to pay the Hospital and submit the claim to the BlueCard Worldwide Service Center at X.X. Xxx 000000, Xxxxx, XX 00000.

  • NOTE: When a Subscriber receives Covered Services from a Non-Participating Hospital, the Benefits that the Company will pay under this Benefit Plan will be reduced by thirty percent (30%).

  • Non-Participating Hospital – A licensed acute care hospital that has informed the Department that they do not desire to participate in the Trauma Care System, or a hospital that does not have a current designation or application for designation on file with the Department.

  • If the emergency calls for the Covered Person to be taken to the nearest Hospital, this Benefit Program shall provide benefits for Covered Services for the Medical Emergency, whether or not the nearest Hospital is a Participating Hospital or Non-Participating Hospital.


More Definitions of Non-Participating Hospital

Non-Participating Hospital means any appropriately licensed Hospital which is not a Participating Hospital under the terms of the Benefit Plan.
Non-Participating Hospital means an Administrator Hospital that does not
Non-Participating Hospital means a Hospital that does not meet the definition of a Participating
Non-Participating Hospital means a Hospital that does not have a participating agreement with the Plan or its agents in effect at the time services are rendered.
Non-Participating Hospital means a hospital which has not entered into a written agreement with BCBSF to provide hospital services that are Covered Services to Members.
Non-Participating Hospital. A Hospital which has not contracted with us to provide services. Outpatient: A person treated in the Outpatient department or emergency room of a Hospital, or in a Free Standing Ambulatory Facility, or a Physician's office. Participating Hospital: A Hospital which contracts with us to provide services. Participating Physician: A licensed practitioner of the healing arts who has contracted with us to provide Covered Services.

Related to Non-Participating Hospital

  • Participating Hospital means an Administrator Hospital that has an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide Hospital services to participants in the Participating Provider Option program.

  • Non-Participating Orthotic Provider means an Orthotic Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Participating Provider means an Administrator Hospital or Professional Provider which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or a facility which has not been designated by the Claim Administrator as a Participating Provider.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Non-Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Participating Retail Health Clinic means a Retail Health Clinic which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Participating Prosthetic Provider means a Prosthetic Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Participating Optometrist means an Optometrist who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Participating Orthotic Provider means an Orthotic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Participating provider means a provider who, under a contract with the health carrier or with its contractor or subcontractor, has agreed to provide health care services to covered persons with an expectation of receiving payment, other than coinsurance, copayments or deductibles, directly or indirectly from the health carrier.

  • Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.