Common use of Commencement of Benefits for Persons Hospitalized on Effective Date Clause in Contracts

Commencement of Benefits for Persons Hospitalized on Effective Date. Members who are admitted to an inpatient facility prior to their enrollment date under this Agreement will receive covered benefits beginning on their Effective Date, as set forth in the Eligibility section above. If a Member is hospitalized in an Out-of-Network facility, CHPW reserves the right to require transfer of the Member to an In- Network facility. The Member will be transferred when an In-Network Provider, in consultation with the attending physician, determines that the Member is medically stable to do so. If the Member refuses to transfer to an In- Network facility, all services received will be covered under Out-of-Network Providers as outlined in the Schedule of Medical Benefits.

Appears in 4 contracts

Samples: legacy.fchn.com, legacy.fchn.com, legacy.fchn.com

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Commencement of Benefits for Persons Hospitalized on Effective Date. Members who are admitted to an inpatient facility prior to their enrollment date under this Agreement the Contract will receive covered benefits beginning on their Effective Date, as set forth in the Eligibility section above. If a Member is hospitalized in an Out-of-Network a non‐Network facility, CHPW reserves the right to require transfer of the Member to an In- a Network facility. The Member will be transferred when an In-a Network Provider, in consultation with the attending physician, determines that the Member is medically stable to do so. If the Member refuses to transfer to an In- a Network facility, all services received will be covered under Out-of-Network Non‐Network Providers as outlined in the Schedule of Medical Benefits.

Appears in 1 contract

Samples: www.fchn.com

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