Ambulance Services. Benefits are available for ambulance services provided by a licensed ambulance or psychiatric transport van. Benefits include: • Emergency ambulance transportation (surface and air) when used to transport you from the place of illness or injury to the closest medical facility that can provide appropriate medical care; and • Non-emergency, prior-authorized ambulance transportation (surface and air) from one medical facility to another. Air ambulance services are covered at the Participating Provider Cost Share, even if you receive services from a Non-Participating Provider.
Appears in 10 contracts
Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract
Ambulance Services. Benefits are available for ambulance services provided by a licensed ambulance or psychiatric transport van. Benefits include: • Emergency ambulance transportation (surface and air) when used to transport you from the place of illness or injury to the closest medical facility that can provide appropriate medical care; and • Non-emergency, prior-authorized ambulance transportation (surface and air) from one medical facility to another. Air ambulance services are covered at the Participating Provider Cost Share, even if you receive services from a Non-Participating Provider.
Appears in 3 contracts
Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract