Common use of NETWORK BENEFIT Clause in Contracts

NETWORK BENEFIT. Mental Health Coverage • Paid-in-full medically necessary hospitalization services and inpatient physician charges when provided by or arranged through the network. • Outpatient care provided by or arranged through the network will be covered subject to a $20 per visit copay. Effective January 1, 2019, the outpatient visit copayment will be $25. • The copayment for emergency room services will be $70. Effective January 1, 2019, the copayment for emergency room services will be $100. • Up to three visits for crisis intervention provided by, or arranged through, the network will be covered without copay. Alcohol and Other Substance Abuse Coverage • Paid-in-full medically necessary care for hospitalization or alcohol/substance abuse facilities when pro- vided by or arranged through the network; • Outpatient care provided by or arranged through the network will be subject to the participating provider office visit copay.

NETWORK BENEFIT. Mental Health Coverage • Paid-in-full medically necessary hospitalization services and inpatient physician charges when provided by or arranged through the network. • Outpatient care provided by or arranged through the network will be covered subject to a $20 per visit copay. Effective Effective January 1, 2019, the outpatient visit copayment will be $25. • The copayment for emergency room services will be $70. Effective Effective January 1, 2019, the copayment for emergency room services will be $100. • Up to three visits for crisis intervention provided by, or arranged through, the network will be covered without copay. Alcohol and Other Substance Abuse Coverage • Paid-in-full medically necessary care for hospitalization or alcohol/substance abuse facilities when pro- vided by or arranged through the network; • Outpatient care provided by or arranged through the network will be subject to the participating provider office office visit copay.