Observation Status. If you have not been admitted to a Hospital but are registered for observation, this means that the Hospital staff is monitoring your health status while awaiting test results. Based on that monitoring and testing you may be admitted as an Inpatient or discharged home for follow up with your personal Provider as an Outpatient. If you are registered for observation, your cost-sharing will be considered “Other Services.” If you are not admitted to the hospital, you may incur Emergency Room cost-sharing in addition to the cost-sharing associated with observation status. Observation status is limited to 48 hours or less. If you are still in observation status at 48 hours, you must meet medical criteria for admission or be discharged to a lower level of care.
Appears in 6 contracts
Samples: Member Benefit Agreement, Member Benefit Agreement, Member Benefit Agreement
Observation Status. SAMPLE If you have not been admitted to a Hospital but are registered for observation, this means that the Hospital staff is monitoring your health status while awaiting test results. Based on that monitoring and testing you may be admitted as an Inpatient or discharged home for follow up with your personal Provider as an Outpatient. If you are registered for observation, your cost-cost- sharing will be considered “Other Services.” If you are not admitted to the hospital, you may incur Emergency Room Department cost-sharing in addition to the cost-sharing associated with observation status. Observation status is limited to 48 consecutive hours or less. If you are still in observation status at or beyond 48 consecutive hours, you must meet medical criteria for admission or be discharged to a lower level of care.
Appears in 2 contracts
Observation Status. If you have not been admitted to a Hospital but are registered for observation, this means that the Hospital staff is monitoring your health status while awaiting test results. Based on that monitoring and testing you may be admitted as an Inpatient or discharged home for follow up with your personal Provider as an Outpatient. If you are registered for observation, your cost-cost‐ sharing will be considered “Other Services.” If you are not admitted to the hospital, you may incur Emergency Room cost-sharing Department cost‐sharing in addition to the cost-sharing cost‐sharing associated with observation status. Observation status is limited to 48 consecutive hours or less. If you are still in observation status at or beyond 48 consecutive hours, you must meet medical criteria for admission or be discharged to a lower level of care.
Appears in 2 contracts
Observation Status. If you have not been admitted to a Hospital but are registered for observation, this means that the Hospital staff is monitoring your health status while awaiting test results. Based on that monitoring and testing you may be admitted as an Inpatient or discharged home for follow up with your personal Provider as an Outpatient. If you are registered for observation, your cost-cost - sharing will be considered “Other Services.” If you are not admitted to the hospital, you may incur Emergency Room cost-om cost - sharing in addition to the cost-cost - sharing associated with observation status. Observation status is limited to 48 hours or less. If you are still in observation status at 48 hours, you must meet medical criteria for admission or be discharged to a lower level of care.
Appears in 1 contract
Samples: Benefit Agreement