Common use of Diagnostic Laboratory and Radiology Services Clause in Contracts

Diagnostic Laboratory and Radiology Services. Covered in full. Emergency Services • At a GHC Facility Covered subject to the lesser of GHC’s charge or a $50 Copayment per Member per Emergency visit. Copayment is waived if the Member is admitted as an inpatient to the hospital directly from the emergency department. Emergency admissions are covered subject to the applicable inpatient services Cost Share. • At a non-GHC Facility Covered subject to the lesser of GHC’s charge or a $100 Copayment per Member per Emergency visit. Copayment is waived if the Member is admitted as an inpatient to the hospital directly from the emergency department. Emergency admissions are covered subject to the applicable inpatient services Cost Share.

Diagnostic Laboratory and Radiology Services. Covered in full. Emergency Services •  At a GHC Facility Covered subject to the lesser of GHC’s charge or a $50 Copayment per Member per Emergency visit. Copayment is waived if the Member is admitted as an inpatient to the hospital directly from the emergency department. Emergency admissions are covered subject to the applicable inpatient services Cost Share. •  At a non-GHC Facility Covered subject to the lesser of GHC’s charge or a $100 Copayment per Member per Emergency visit. Copayment is waived if the Member is admitted as an inpatient to the hospital directly from the emergency department. Emergency admissions are covered subject to the applicable inpatient services Cost Share.