Common use of Member Reimbursement Clause in Contracts

Member Reimbursement. It is not anticipated that Members will make payment to any person or institution for Benefits provided under this Agreement, except as expressly stated herein. However, if a Member furnishes a claim form and written evidence satisfactory to Plan that he or she received Benefits covered under this Agreement, and that he or she made payment to the provider of such Benefits for same, Plan shall reimburse the Member for the Benefits rendered, upon verification of coverage by Plan that the Benefits were appropriately Authorized or constituted Emergency Services or Urgent Care Services.

Member Reimbursement. It is not anticipated that Members will make payment to any person or institution for Benefits provided under this Agreement, except as expressly stated herein. However, if a Member furnishes a claim form and written evidence satisfactory to the Plan that he or she received Benefits covered under this Agreement, and that he or she made payment to the provider of such Benefits for same, the Plan shall reimburse the Member for the Benefits rendered, upon verification of coverage by the Plan that the Benefits were appropriately Authorized or constituted Emergency Services or Urgent Care Services.