Common use of Local Community Needs Clause in Contracts

Local Community Needs. Where a Member’s treating Physician believes that a Member requires certain medical services and the Department of Health has determined that such services are not available from another source locally other than from a UPMC Provider that is an Out-of-Network Provider under this Agreement, the Member may receive Covered Services from such UPMC Provider. Covered Services shall be available at the Standard Value level of benefits.

Local Community Needs. Where a Member’s treating Physician believes that a Member requires certain medical services and the Department of Health has determined that such services are not available from another source locally other than from a UPMC Provider that is an Out-of-Network Provider under this Agreement, the Member may receive Covered Services from such UPMC Provider. Covered Services shall be available at the Standard Value Network Services level of benefits.