Common use of CARE IN NON-MEDICARD ACCREDITED Clause in Contracts

CARE IN NON-MEDICARD ACCREDITED. HOSPITALS a. When a MEMBER is in immediate danger of losing a limb, eye or other parts of the body or is in severe pain that requires immediate relief and enters a non-MediCard accredited hospital for treatment. b. MediCard shall pay the said amount when it is verified that MediCard facilities were not used because to have done so would entail a delay resulting in death, serious disability or significant jeopardy to the MEMBER's condition or the choice of hospital was beyond the control of the MEMBER or the MEMBER's family. Other expenses not covered in using non-MediCard Accredited Hospitals for emergency care is follow up care. XxxxXxxx agrees to reimburse eighty percent (80%) of the approved total hospital bills and of professional fees, based on MediCard relative value for accredited hospitals, up to the amount of P30,000.00.