Out-of-Network Benefits. The out-of-network benefits portion of this Contract provides coverage when You receive Covered Services from Non-Participating Providers. Your out-of-pocket expenses will be higher when You receive out-of-network benefits. In addition to Cost-Sharing, You will also be responsible for paying any difference between the Allowed Amount and the Non-Participating Provider’s charge.
Appears in 21 contracts
Samples: Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract
Out-of-Network Benefits. The out-of-network benefits portion of this Contract provides coverage when You receive Covered Services from Non-Participating Providers. Your out-of-pocket expenses will be higher when You receive out-of-of- network benefits. In addition to Cost-Sharing, You will also be responsible for paying any difference between the Allowed Amount and the Non-Participating Provider’s charge.
Appears in 5 contracts
Samples: Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract, Preferred Provider Organization Insurance Contract
Out-of-Network Benefits. The out-of-network benefits portion of this Contract provides coverage when You receive Covered Services from Non-Participating ProvidersProviders or when You received Covered Services from Participating Providers without care being provided, arranged or authorized in advance by Your Primary Care Dentist and, when required, approved by Us. Your out-of-pocket expenses will be higher when You receive out-of-network benefits. In addition to Cost-Sharing, You will also be responsible for paying any difference between the Allowed Amount and the Non-Participating Provider’s charge.
Appears in 3 contracts
Samples: Preferred Provider Organization Contract, Preferred Provider Organization Contract, Preferred Provider
Out-of-Network Benefits. The out-of-network benefits portion of this Contract provides coverage when You receive Covered Services from Non-Participating ProvidersProviders or when You received Covered Services from Participating Providers without care being provided, arranged or authorized in advance by Your Primary Care Dentist and, when required, approved by Us. Your out-of-pocket expenses will be higher when You receive out-of-network benefits. In addition to Cost-Cost- Sharing, You will also be responsible for paying any difference between the Allowed Amount and the Non-Participating Provider’s charge.
Appears in 1 contract
