Common use of Network Provider Services Clause in Contracts

Network Provider Services. If you receive covered healthcare services from a network provider, the provider has agreed to accept our payment for covered healthcare services as payment in full, excluding your copayments, deductible (if any), and the difference between the benefit limit and our allowance, if any. This plan uses the Blue Choice New England provider network. Our service area for network providers includes Rhode Island, Connecticut, Maine, Massachusetts, and New Hampshire. When you receive healthcare services or supplies from a network provider in a state other than Rhode Island, your coverage and other requirements for healthcare services may be different from those described in this agreement. In this case, you may be entitled to receive additional coverage under this health plan as required by that state’s law. You should call our customer service office for more help if this applies to you.

Network Provider Services. If you receive covered healthcare services from a network provider, the provider has agreed to accept our allowance as payment in full for covered healthcare services as payment in fullservices, excluding your copayments, deductible (if any), and the difference between the benefit limit and our allowance, if any. This plan uses the Blue Choice New England provider network. Our service area for network providers includes Rhode Island, Connecticut, Maine, Massachusetts, and New Hampshire. When you receive healthcare services or supplies from a network provider in a state other than Rhode Island, your coverage and other requirements for healthcare services may be different from those described in this agreement. In this case, you may be entitled to receive additional coverage under this health plan as required by that state’s law. You should call our customer service office for more help if this applies to you.