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.
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Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Subscription Agreement
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.
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