Common use of Out-of-Network Services Clause in Contracts

Out-of-Network Services. We Cover the services of Non-Participating Providers. See the Schedule of Benefits section of this Contract for the Non-Participating Provider services that are Covered. In any case where benefits are limited to a certain number of days or visits, such limits apply in the aggregate to in-network and out-of-network services.

Appears in 44 contracts

Samples: Preferred Provider Organization Contract, Preferred Provider Organization Contract, Preferred Provider Organization Insurance Contract

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Out-of-Network Services. We Cover the services of Non-Participating Providers. However, some services are only Covered when you go to a Participating Provider. See the Schedule of Benefits section of this Contract Policy for the Non-Participating Provider services that are Covered. In any case where benefits are limited to a certain number of days or visits, such limits apply in the aggregate to in-network and out-of-network services.

Appears in 9 contracts

Samples: Participating Provider Organization Insurance Policy, Insurance Policy, Insurance Policy

Out-of-Network Services. We Cover the services of Non-Participating Providers. See the Schedule of Benefits section of this Contract for the Non-Participating Provider services that are Covered. In any case where benefits are limited to a certain number of days or visits, such limits apply in the aggregate to in-network and out-of-of- network services.

Appears in 2 contracts

Samples: Preferred Provider Organization Contract, Preferred Provider Organization Contract

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Out-of-Network Services. We Cover the services of Non-Participating Providers. However, you will pay a higher cost share with these services. See the Schedule of Benefits section of this Contract Certificate for the Non-Participating Provider services that are Covered. In any case where benefits are limited to a certain number of days or visits, such limits apply in the aggregate separately to in-network and out-of-network services.

Appears in 1 contract

Samples: Student Vision Insurance Policy

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