Observation Services. This plan covers services provided to you when you are in a hospital or other licensed health care facility solely for observation. Even though you may use a bed or stay overnight, observation services are not inpatient services. Observation services help the physician decide if you need to be admitted for care as an inpatient or if you can be discharged. These observation services may be provided in the emergency room or another area of the hospital or licensed healthcare facility. Observation services received from a non-network provider that are related to an emergency room service are covered at a network level of benefits as described in Section 6. See the Summary of Medical Benefits for the amount you pay.
Appears in 15 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
