Common use of Major Disaster or Epidemic Clause in Contracts

Major Disaster or Epidemic. In the event of any major disaster, act of war, or epidemic, Plan and Plan Providers shall provide Benefits to Members to the extent Plan and Plan Providers deem reasonable and practical given the facilities and personnel then available. Under such circumstance, Plan shall use all Plan Providers available to provide Benefits, regardless of whether the particular Member in question had previously selected, been assigned to or received Benefits from a particular Plan Provider. Plan shall refer members to the nearest hospital for Emergency Services or to available urgent care providers for treatment of Medically Necessary services and may provide reimbursement for such services. However, neither Plan nor any Plan Provider shall have any liability to Members for any delay in providing, or failure to provide Benefits under such conditions to the extent that Plan Providers are not available to provide Benefits.

Appears in 3 contracts

Samples: Sharp Health Plan Group Agreement, Sharp Health Plan Group Agreement, Sharp Health Plan Group Agreement

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Major Disaster or Epidemic. In the event of any major disaster, act of war, disaster or epidemic, Plan and Plan Providers shall provide Benefits to Members to the extent Plan and Plan Providers deem reasonable and practical given the facilities and personnel then available. Under such circumstance, Plan shall use all Plan Providers available to provide Benefits, regardless of whether the particular Member in question had previously selected, been assigned to or received Benefits from a particular Plan Provider. Plan shall refer members to the nearest hospital for Emergency Services or to available urgent care providers for treatment of Medically Necessary services and may provide reimbursement for such services. However, neither Plan nor any Plan Provider shall have any liability to Members for any delay in providing, or failure to provide Benefits under such conditions to the extent that Plan Providers are not available to provide Benefits.

Appears in 2 contracts

Samples: California Health Benefit, Sharp Health Plan Group Agreement

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Major Disaster or Epidemic. In the event of any major disaster, act of war, disaster or epidemic, the Plan and Plan Providers shall provide Benefits to Members to the extent the Plan and Plan Providers deem reasonable and practical given the facilities and personnel then available. Under such circumstance, the Plan shall use all Plan Providers available to provide Benefits, regardless of whether the particular Member in question had previously selected, been assigned to or received Benefits from a particular Plan Provider. The Plan shall refer members to the nearest hospital for Emergency Services emergency services or to available urgent care services providers for treatment of Medically Necessary medically necessary services and may provide reimbursement for such services. However, neither the Plan nor any Plan Provider shall have any liability to Members for any delay in providing, or failure to provide Benefits under such conditions to the extent that Plan Providers are not available to provide Benefits.

Appears in 1 contract

Samples: Sharp Health Plan Group Agreement

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