Common use of Non-emergency ambulance services Clause in Contracts

Non-emergency ambulance services. Except as stated in the Covered Services section of this Agreement, the Plan does not provide Benefits for Ambulance usage when another type of transportation can be used without endangering the Member’s health. Any ambulance usage for the convenience of the Member, family or Provider is not a Covered Service. This exclusion includes, but is not limited to, trips to an office, clinic, morgue or funeral home. Coverage is not available for air ambulance transport from a Hospital capable of treating the patient because the patient and/or the patient’s family prefer a specific hospital or physician. Air ambulance services are not covered to transport to a facility or long-term dwelling that is not an acute care hospital, such as a nursing facility, physician’s office, or your home.

Appears in 7 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement

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Non-emergency ambulance services. Except as stated in the Covered Services section of this Agreement, the Plan does not provide Benefits for Ambulance usage when another type of transportation can be used without endangering the Member’s health. Any ambulance usage for the convenience of the Member, family or Provider is not a Covered Service. This exclusion includes, but is not limited to, trips to an office, clinic, morgue or funeral home. Coverage is not available for air ambulance transport from a Hospital capable of treating the patient because the patient and/or the patient’s family prefer a specific hospital or physician. Air ambulance services are not covered to transport to a facility or long-term long‐term dwelling that is not an acute care hospital, such as a nursing facility, physician’s office, or your home.

Appears in 2 contracts

Samples: Member Benefit Agreement, Member Benefit Agreement

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Non-emergency ambulance services. Except as stated in the Covered Services section of this Agreement, the Plan does not provide Benefits for Ambulance usage when another type of transportation can be used without endangering the Member’s health. Any ambulance usage for the convenience of the Member, family or Provider is not a Covered Service. This exclusion includes, but is not limited to, trips to an office, clinic, morgue or funeral home. SAMPLE Coverage is not available for air ambulance transport from a Hospital capable of treating the patient because the patient and/or the patient’s family prefer a specific hospital or physician. Air ambulance services are not covered to transport to a facility or long-term dwelling that is not an acute care hospital, such as a nursing facility, physician’s office, or your home.

Appears in 1 contract

Samples: Member Benefit Agreement

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