Common use of Additional Surgical Opinion Benefits Clause in Contracts

Additional Surgical Opinion Benefits. a) The plan will pay ninety percent (90%) in-network and sixty-five percent (65%) out-of-network of the usual, reasonable and customary (URC) charges for examination and consultation in connection with an additional surgical opinion. Additional surgical opinions are optional. b) If the second opinion does not confirm the need for surgery, the employee or dependent may elect to obtain a third opinion.

Additional Surgical Opinion Benefits. a1) The plan will pay ninety percent (90%) in-network and sixty-five percent (65%) out-of-network of the usual, reasonable and customary (URC) charges for examination and consultation in connection with an additional surgical opinion. Additional surgical opinions are optional. b2) If the second opinion does not confirm the need for surgery, the employee or dependent may elect to obtain a third opinion.