Common use of Other Emergency Care Clause in Contracts

Other Emergency Care. Charges made by a Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) for emergency care rendered in a medical facility or a Physician's office following an accident. BENEFIT PAYMENT FOR EMERGENCY ROOM/URGENT CARE VISITS: IN-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS OUT-OF-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS ALL OTHER OUTPATIENT SERVICES WILL BE COVERED AS FOLLOWS:  IN-NETWORK COVERAGE IN-NETWORK COINSURANCE FOR ELIGIBLE EXPENSES AFTER THE DEDUCTIBLE UP TO IN-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL  OUT-OF-NETWORK COVERAGE OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER THE OUT-OF-NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL

Other Emergency Care. Charges made by a Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) for emergency care rendered in a medical facility or a Physician's office following an accident. BENEFIT PAYMENT FOR EMERGENCY ROOM/URGENT CARE ROOM VISITS: IN-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS OUT-OF-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, THE OUT-OF-NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND $50 COPAYMENT FOR URGENT CARE VISITS THEN ELIGIBLE EXPENSES COVERED IN FULL ALL OTHER OUTPATIENT SERVICES WILL BE COVERED AS FOLLOWS:  IN-NETWORK COVERAGE IN-NETWORK COINSURANCE FOR ELIGIBLE EXPENSES AFTER THE DEDUCTIBLE UP TO IN-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL  OUT-OF-NETWORK COVERAGE OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER THE OUT-OF-NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL

Other Emergency Care. Charges made by a Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) for emergency care rendered in a medical facility or a Physician's office following an accident. BENEFIT PAYMENT FOR EMERGENCY ROOM/URGENT CARE VISITS: IN-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 250 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS OUT-OF-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, THE OUT-OF- NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND $50 COPAYMENT FOR URGENT CARE VISITS THEN ELIGIBLE EXPENSES COVERED IN FULL ALL OTHER OUTPATIENT SERVICES WILL BE COVERED AS FOLLOWS:  IN-NETWORK COVERAGE IN-NETWORK COINSURANCE FOR ELIGIBLE EXPENSES AFTER THE DEDUCTIBLE UP TO IN-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL  OUT-OF-NETWORK COVERAGE OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER THE OUT-OF-OF- NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL

Other Emergency Care. Charges made by a Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) for emergency care rendered in a medical facility or a Physician's office following an accident. BENEFIT PAYMENT FOR EMERGENCY ROOM/URGENT CARE VISITS: IN◼ IN-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS OUT◼ OUT-OF-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS ALL OTHER OUTPATIENT SERVICES WILL BE COVERED AS FOLLOWS:  ◼ IN-NETWORK COVERAGE IN-NETWORK COINSURANCE FOR ELIGIBLE EXPENSES AFTER THE DEDUCTIBLE UP TO IN-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL  ◼ OUT-OF-NETWORK COVERAGE OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER THE OUT-OF-NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL

Other Emergency Care. Charges made by a Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) for emergency care rendered in a medical facility or a Physician's office following an accident. BENEFIT PAYMENT FOR EMERGENCY ROOM/URGENT CARE VISITS: IN IN-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS OUT OUT-OF-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS ALL OTHER OUTPATIENT SERVICES WILL BE COVERED AS FOLLOWS:  IN-NETWORK COVERAGE IN-NETWORK COINSURANCE FOR ELIGIBLE EXPENSES AFTER THE DEDUCTIBLE UP TO IN-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL  OUT-OF-NETWORK COVERAGE OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER THE OUT-OF-NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL

Other Emergency Care. Charges made by a Doctor of Medicine (M.D.) or a Doctor of Osteopathy (D.O.) for emergency care rendered in a medical facility or a Physician's office following an accident. BENEFIT PAYMENT FOR EMERGENCY ROOM/URGENT CARE VISITS: IN IN-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 250 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS OUT OUT-OF-NETWORK COVERAGE ONE HUNDRED PERCENT (100%) OF ELIGIBLE EXPENSES AFTER A $200 250 COPAYMENT FOR EMERGENCY CARE VISITS, AND $50 COPAYMENT FOR URGENT CARE VISITS ALL OTHER OUTPATIENT SERVICES WILL BE COVERED AS FOLLOWS:   IN-NETWORK COVERAGE IN-NETWORK COINSURANCE FOR ELIGIBLE EXPENSES AFTER THE DEDUCTIBLE UP TO IN-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL   OUT-OF-NETWORK COVERAGE OUT-OF-NETWORK COINSURANCE OF ELIGIBLE EXPENSES AFTER THE OUT-OF-OF- NETWORK DEDUCTIBLE UP TO OUT-OF-NETWORK STOP-LOSS AND THEN ELIGIBLE EXPENSES COVERED IN FULL