Examples of Non-Participating Provider in a sentence
If You receive services from a Non-Participating Provider, We reserve the right to pay either You or the Provider regardless of whether an assignment has been made.
You must also pay any charges of a Non-Participating Provider that are in excess of the Allowed Amount.
Covered Services rendered by the Non-Participating Provider will be paid as if they were provided by a Participating Provider.
If We do not have a Participating Provider for certain provider types in the county in which You live or in a bordering county that is within approved time and distance standards, We will approve an authorization to a specific Non-Participating Provider until You no longer need the care or We have a Participating Provider in Our network that meets the time and distance standards and Your care has been transitioned to that Participating Provider.
See the Schedule of Benefits section of this Contract for the Non-Participating Provider services that are Covered.