Common use of Other Providers Clause in Contracts

Other Providers. With Xxxxx you have access to other Providers in addition to the ones described in this section. Other Providers include facilities that provide alternative outpatient settings or other persons and entities that specialize in specific Services. While these Providers may be recognized for payment, they may not be In-Network Providers for your plan. Also, all of the Services that are within the scope of certain Providers’ licenses may not be Covered Services under this Contract. Please refer to the WHAT IS COVERED? and WHAT IS NOT COVERED? sections of this Contract and your Schedule of Benefits to find out what your Cost Share may be for Covered Services rendered by these Providers. You may be able to receive certain outpatient Services at a location other than a Hospital. Your Cost Share for Services rendered at some alternative facilities is generally less than if you had received those same Services at a Hospital.