Common use of Emergency Benefits Clause in Contracts

Emergency Benefits. Benefits are available for Emergency Services received in the emergency room of a Hospital. The Emergency Benefit also includes Hospital admission when inpatient treatment of your Emergency Medical Condition is Medically Necessary. You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital. If you have a medical emergency, call 911 or seek immediate medical attention at the nearest hospital. Benefits include: • Physician services; • Emergency room facility services; and • Inpatient Hospital services to stabilize your Emergency Medical Condition. Once your Emergency Medical Condition has stabilized, it is no longer considered an emergency. Upon stabilization, you may: • Be released from the emergency room if you do not need further treatment; • Receive additional inpatient treatment at the Participating Hospital; or • Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Participating Hospital. Stabilization is medical treatment necessary to assure, with reasonable medical probability, that no material deterioration of the condition is likely to result from, or occur during, your release from medical care or transfer from a facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another Hospital before delivery or the transfer may pose a threat to the health or safety of the woman or unborn child, stabilize means delivery, including the placenta. Post-stabilization care is Medically Necessary treatment received after the treating Physician determines the Emergency Medical Condition is stabilized. If you are admitted to the Hospital for Emergency Services, you should notify your PCP within 24 hours or as soon as possible after your condition has stabilized.

Appears in 10 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

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Emergency Benefits. Benefits are available for Emergency Services received in the emergency room of a Hospital. The Emergency Benefit also includes Hospital admission when inpatient treatment of your Emergency Medical Condition is Medically Necessary. You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital. If you have a medical emergency, call 911 or seek immediate medical attention at the nearest hospital. Benefits include: • Physician services; • Emergency room facility services; and • Inpatient Hospital services to stabilize your Emergency Medical Condition. Once your Emergency Medical Condition has stabilized, it is no longer considered an emergency. Upon stabilization, you may: • Be released from the emergency room if you do not need further treatment; • Receive additional inpatient treatment at the Participating Hospital; or • Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Participating Hospital. Stabilization is medical treatment necessary to assure, with reasonable medical probability, that no material deterioration of the condition is likely to result from, or occur during, your release from medical care or transfer from a facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another Hospital before delivery or the transfer may pose a threat to the health or safety of the woman or unborn child, stabilize means delivery, including the placenta. Post-stabilization care is Medically Necessary treatment received after the treating Physician determines the Emergency Medical Condition is stabilized. If you are admitted to the Hospital for Emergency Services, you should notify your PCP Blue Shield within 24 hours or as soon as possible after your condition has stabilized.

Appears in 5 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

Emergency Benefits. Benefits are available for Emergency Services received in the emergency room of a Hospital. The Emergency Benefit also includes Hospital admission when inpatient treatment of your Emergency Medical Condition is Medically Necessary. You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital. If you have a medical emergency, call 911 or seek immediate medical attention at the nearest hospital. Benefits include: • Physician services; • Emergency room facility services; and • Inpatient Hospital services to stabilize your Emergency Medical Condition. Once your Emergency Medical Condition has stabilized, it is no longer considered an emergency. Upon stabilization, you may: • Be released from the emergency room if you do not need further treatment; • Receive additional inpatient treatment at the Participating Hospital; or • Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Non-Participating Hospital. Stabilization is medical treatment necessary to assure, with reasonable medical probability, that no material deterioration of the condition is likely to result from, or occur during, your release from medical care or transfer from a facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another Hospital before delivery or the transfer may pose a threat to the health or safety of the woman or unborn child, stabilize means delivery, including the placenta. Post-stabilization care is Medically Necessary treatment received after the treating Physician determines the Emergency Medical Condition is stabilized. If you are admitted to the Hospital for Emergency Services, you should notify your PCP Blue Shield within 24 hours or as soon as possible after your condition has stabilized.

Appears in 4 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

Emergency Benefits. Benefits are available for Emergency Services received in the emergency room of a Hospital. The Emergency Benefit also includes Hospital admission when inpatient treatment of your Emergency Medical Condition is Medically Necessary. You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital. If you have a medical emergency, call 911 or seek immediate medical attention at the nearest hospital. Benefits include: Physician services; Emergency room facility services; and Inpatient Hospital services to stabilize your Emergency Medical Condition. Once your Emergency Medical Condition has stabilized, it is no longer considered an emergency. Upon stabilization, you may: Be released from the emergency room if you do not need further treatment; Receive additional inpatient treatment at the Participating Hospital; or Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Participating Hospital. Stabilization is medical treatment necessary to assure, with reasonable medical probability, that no material deterioration of the condition is likely to result from, or occur during, your release from medical care or transfer from a facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another Hospital before delivery or the transfer may pose a threat to the health or safety of the woman or unborn child, stabilize means delivery, including the placenta. Post-stabilization care is Medically Necessary treatment received after the treating Physician determines the Emergency Medical Condition is stabilized. If you are admitted to the Hospital for Emergency Services, you should notify your PCP within 24 hours or as soon as possible after your condition has stabilized.

Appears in 3 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

Emergency Benefits. Benefits are available for Emergency Services received in the emergency room of a Hospital. The Emergency Benefit also includes Hospital admission when inpatient treatment of your Emergency Medical Condition is Medically Necessary. You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital. If you have a medical emergency, call 911 or seek immediate medical attention at the nearest hospital. Benefits include: Physician services; Emergency room facility services; and Inpatient Hospital services to stabilize your Emergency Medical Condition. Once your Emergency Medical Condition has stabilized, it is no longer considered an emergency. Upon stabilization, you may: Be released from the emergency room if you do not need further treatment; Receive additional inpatient treatment at the Participating Hospital; or Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Participating Hospital. Stabilization is medical treatment necessary to assure, with reasonable medical probability, that no material deterioration of the condition is likely to result from, or occur during, your release from medical care or transfer from a facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another Hospital before delivery or the transfer may pose a threat to the health or safety of the woman or unborn child, stabilize means delivery, including the placenta. Post-stabilization care is Medically Necessary treatment received after the treating Physician determines the Emergency Medical Condition is stabilized. If you are admitted to the Hospital for Emergency Services, you should notify your PCP Blue Shield within 24 hours or as soon as possible after your condition has stabilized.

Appears in 3 contracts

Samples: Group Health Service Contract, Group Health Service Contract, Group Health Service Contract

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Emergency Benefits. Benefits are available for Emergency Services received in the emergency room of a HospitalHospital or other emergency room licensed under state law. The Emergency Benefit also includes Hospital admission when inpatient treatment of your Emergency Medical Condition is Medically Necessary. You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital. If you have a medical emergency, call 911 or seek immediate medical attention at the nearest hospital. Benefits include: • Physician services; • Emergency room facility services; and • Inpatient Hospital services to stabilize your Emergency Medical Condition. Once your Emergency Medical Condition has stabilized, it is no longer considered an emergency. Upon stabilization, you may: • Be released from the emergency room if you do not need further treatment; • Receive additional inpatient treatment at the Participating Hospital; or • Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Non-Participating Hospital. Stabilization is medical treatment necessary to assure, with reasonable medical probability, that no material deterioration of the condition is likely to result from, or occur during, your release from medical care or transfer from a facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another Hospital before delivery or the transfer may pose a threat to the health or safety of the woman or unborn child, stabilize means delivery, including the placenta. Post-stabilization care is Medically Necessary treatment received after the treating Physician determines the Emergency Medical Condition is stabilized. If you are admitted to the Hospital for Emergency Services, you should notify your PCP Blue Shield within 24 hours or as soon as possible after your condition has stabilized.

Appears in 1 contract

Samples: Group Health Service Contract

Emergency Benefits. Benefits are available for Emergency Services received in the emergency room of a HospitalHospital or other emergency room licensed under state law. The Emergency Benefit also includes Hospital admission when inpatient treatment of your Emergency Medical Condition is Medically Necessary. You can access Emergency Services for an Emergency Medical Condition at any Hospital, even if it is a Non-Participating Hospital. If you have a medical emergency, call 911 or seek immediate medical attention at the nearest hospital. Benefits include: • Physician services; • Emergency room facility services; and • Inpatient Hospital services to stabilize your Emergency Medical Condition. Once your Emergency Medical Condition has stabilized, it is no longer considered an emergency. Upon stabilization, you may: • Be released from the emergency room if you do not need further treatment; • Receive additional inpatient treatment at the Participating Hospital; or • Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Participating Hospital. Stabilization is medical treatment necessary to assure, with reasonable medical probability, that no material deterioration of the condition is likely to result from, or occur during, your release from medical care or transfer from a facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another Hospital before delivery or the transfer may pose a threat to the health or safety of the woman or unborn child, stabilize means delivery, including the placenta. Post-stabilization care is Medically Necessary treatment received after the treating Physician determines the Emergency Medical Condition is stabilized. If you are admitted to the Hospital for Emergency Services, you should notify your PCP within 24 hours or as soon as possible after your condition has stabilized.

Appears in 1 contract

Samples: Group Health Service Contract

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