Out-of-area coverage means health care services provided outside the MCO’s geographic service areas with appropriate limitations and guidelines acceptable to the Department. At a minimum, such coverage must include emergency care.
Out-of-area coverage means coverage while an enrollee/patient is anywhere outside the service area of the health insurance provider, and also includes coverage for urgently needed services to prevent serious deterioration of an enrollee/patient’s health resulting from unforeseen illness or injury for which treatment cannot be delayed until the enrollee/patient returns to the health insurance provider’s service area;
Out-of-area coverage means coverage while an enrollee is anywhere outside the service area of Canopy Health and includes coverage for urgently needed services to prevent serious deterioration of an
More Definitions of Out-of-area coverage
Out-of-area coverage means coverage
Out-of-area coverage means contractual benefits provided by the HMO to its enrollees with respect to emergency health care services received by enrollees outside the primary geographical area served by the HMO.
Out-of-area coverage means coverage while an enrollee is anywhere outside the service area of the health maintenance organization plan, and shall also include coverage for urgently needed services to prevent serious deterioration of an enrollee’s health resulting from unforeseen illness or injury for which treatment cannot be delayed until the enrollee returns to the health maintenance organization plan’s service area; and
Out-of-area coverage means coverage while a Member is anywhere outside the Plan’s Service Area, and shall only include coverage for Emergency Care and Urgently Needed
Out-of-area coverage means coverage while a Member is anywhere outside the Plan’s ServiceArea, and shall include coverage for urgently needed services to prevent serious deterioration of a Member’s health resulting from unforeseen illness or injury for which treatment cannot be delayed until the Member returns to the Plan’s Service Area.
Out-of-area coverage means coverage while a Member is anywhere outside the Service Area, including coverage for Emergency Services and Urgent Care Services to prevent serious deterioration of a Member's health resulting from unforeseen illness or injury for which treatment cannot be delayed until the Member returns to the Service Area.
Out-of-area coverage means coverage while an enrollee is anywhere outside the service area of Canopy Health and includes coverage for urgently needed services to prevent serious deterioration of an enrollee’s health resulting from unforeseen illness or injury for which treatment cannot be delayed until the enrollee returns to Canopy Health’s service area.