Common use of Continuity of Care from Plan Providers Clause in Contracts

Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating an Insured, except for reasons of medical incompetence or professional misconduct as determined by SHL. Coverage provided under this section is available until the latest of the following dates:  The 120th day following the date the contract was terminated between the Provider and SHL; or  If the medical condition is Complication of Pregnancy, the 45th day after the date of delivery or if the pregnancy does not end in delivery the date of the end of the pregnancy. The Insured or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Insured for any amounts for which the Insured would not be responsible if the Provider were still a Plan Provider. Sierra Health and Life Insurance Co., Inc. Attn: Provider Services Department XX Xxx 00000 Xxx Xxxxx, XX 00000-0000 Phone: 000-000-0000

Appears in 2 contracts

Samples: Epo Agreement of Coverage, Epo Agreement of Coverage

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Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating an Insured, except for reasons of medical incompetence or professional misconduct as determined by SHL. Coverage provided under this section is available until the latest of the following dates:  The 120th day following the date the contract was terminated between the Provider and SHL; or  If the medical condition is Complication of Pregnancypregnancy, the 45th day after the date of delivery or or, if the pregnancy does not end in delivery delivery, the date of the end of the pregnancy. The Insured or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Insured for any amounts for which the Insured would not be responsible if the Provider were still a Plan Provider. Sierra Health and Life Insurance Co., Inc. Attn: Provider Services Department XX Xxx 00000 Xxx XxxxxPO Box 15645 Las Vegas, XX NV 00000-0000 Phone: 0-000-000-0000

Appears in 2 contracts

Samples: Group Health Insurance Certificate of Coverage, Group Health Insurance Certificate of Coverage

Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating an Insured, except for reasons of medical incompetence or professional misconduct as determined by SHL. Coverage provided under this section is available until the latest of the following dates:  The 120th day following the date the contract was terminated between the Provider and SHL; or  If the medical condition is Complication of Pregnancy, the 45th day after the date of delivery or if the pregnancy does not end in delivery the date of the end of the pregnancy. The Insured or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Insured for any amounts for which the Insured would not be responsible if the Provider were still a Plan Provider. Sierra Health and Life Insurance Co., Inc. Attn: Provider Services Department XX Xxx 00000 Xxx Xxxxx, XX 00000-0000 Phone: 0-000-000-0000

Appears in 1 contract

Samples: Epo Agreement of Coverage

Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating fromtreating an Insured, except for reasons of medical incompetence or professional misconduct as determined by SHL. Coverage provided under this section is available until the latest of the following dates: The 120th day following the date the contract was terminated between the Provider and SHL; or If the medical condition is Complication of Pregnancypregnancy, the 45th day after the date of delivery or or, if the pregnancy does not end in delivery delivery, the date of the end of the pregnancy. The Insured or Insuredor Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the fromthe Insured for any amounts for which the Insured would Insuredwould not be responsible if the Provider were still a Plan Provider. Sierra Health and Life Insurance Co., Inc. Attn: Provider Services Department XX Xxx 00000 Xxx Xxxxx, XX 00000-0000 Phone: 0-000-000-0000

Appears in 1 contract

Samples: Group Health Insurance Certificate of Coverage

Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating an Insured, except for reasons of medical incompetence or professional misconduct as determined by SHL. Coverage provided under this section is available until the latest of the following dates: The 120th day following the date the contract was terminated between the Provider and SHL; or If the medical condition is Complication of Pregnancypregnancy, the 45th 90th day after the date of delivery or if the pregnancy does not end in delivery the date of the end of the pregnancy. The Insured or Plan Provider may submit a request for continuity of care to the following address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Insured for any amounts for which the Insured would not be responsible if the Provider were still a Plan Provider. Sierra Health and Life Insurance Co.PO Box 14856 Las Vegas, Inc. AttnNV 89114-4856 Attention: Provider Services Department XX Xxx 00000 Xxx Xxxxx, XX 00000-0000 Phone: 000-000-0000Transition of Care/Continuity of Care XxxxxxxxXxxxxxxxXX@xxx.xxx

Appears in 1 contract

Samples: Group Health Insurance Certificate of Coverage

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Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating an Insured, except for reasons of medical incompetence or professional misconduct as determined by SHL. Coverage provided under this section is available until the latest of the following dates: The 120th day following the date the contract was terminated between the Provider and SHL; or If the medical condition is Complication of Pregnancy, the 45th day after the date of delivery or if the pregnancy does not end in delivery the date of the end of the pregnancy. The Insured or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Insured for any amounts for which the Insured would not be responsible if the Provider were still a Plan Provider. Sierra Health and Life Insurance Co., Inc. Attn: Provider Services Department XX Xxx 00000 Xxx Xxxxx, XX 00000-0000 Phone: (000) 000-0000, 0-000-000-0000

Appears in 1 contract

Samples: Agreement of Coverage

Continuity of Care from Plan Providers. Termination of a Plan Provider’s contract will not release the Provider from treating an Insured, except for reasons of medical incompetence or professional misconduct as determined by SHL. Coverage provided under this section is available until the latest of the following dates:  The 120th day following the date the contract was terminated between the Provider and SHL; or  If the medical condition is Complication of Pregnancypregnancy, the 45th 90th day after the date of delivery or if the pregnancy does not end in delivery the date of the end of the pregnancy. The Insured or Plan Provider may submit a request for continuity of care to the address shown below. If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above. The Plan Provider may not seek payment from the Insured for any amounts for which the Insured would not be responsible if the Provider were still a Plan Provider. Sierra Health and Life Insurance Co., Inc. Attn: Provider Services Department XX Xxx 00000 Xxx Xxxxx, XX 00000-0000 Phone: 000-000-0000

Appears in 1 contract

Samples: Epo Agreement of Coverage

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