Out-of-Area Emergency Services definition
Out-of-Area Emergency Services means Emergency services which are rendered to a Member at a distance of more than twenty (20) mile radius from the medical offices of PARTICIPATING MEDICAL GROUP or the Satellite Facility to which the Member is assigned. When PARTICIPATING MEDICAL GROUP is organized as an Independent Practice Association, Out-of-Area Emergency Services are those Emergency services which are rendered to a Member at a distance of more than twenty (20) mile radius from each hospital designated in Exhibit B as a Service Area hospital. Out-of-Area Emergency Services shall also include Out of Area 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 Service Area.
Out-of-Area Emergency Services means Emergency services which are rendered to a Member at a distance of more than twenty (20) miles from the medical offices of PARTICIPATING MEDICAL GROUP or the Satellite Facility to which the Member is assigned. When PARTICIPATING MEDICAL GROUP is organized as in Independent Practice Association, Out-of-Area Emergency Services are those Emergency services which are rendered to a Member at a distance of more than twenty (20) mile radius from a hospital designated in Exhibit D.
Examples of Out-of-Area Emergency Services in a sentence
To pay all Health Professionals and hospitals who have rendered authorized Referral Services or Out-of-Area Emergency Services to Members, within forty-five (45) working days following receipt of a clean, undisputed claim, consistent with the regulations of the Commissioner of Corporations governing BLUE CROSS.
Out-of-Area Emergency Services (Facility and Professional Expenses).
Out-of-Area Emergency Services are covered by the Plan subject to some limitations, as described in the section entitled Choice of Dental Provider.