Common use of Outside of California Clause in Contracts

Outside of California. The Blue Shield Trio HMO provides coverage for you and your family for your Urgent Service needs when you or your family are temporarily traveling outside of California. Urgent Services may be ob- tained from any provider; however, using the BlueCard® or Blue Shield Global Core programs can be more cost-effective and may eliminate the need for you to pay for the services when they are rendered and submit a claim for reimbursement. See the Inter-Plan Arrangements section of this EOC for more information on the BlueCard® and Blue Shield Global Core programs. Out-of-Area Follow-up Care is also covered and services may be received through the BlueCard® or Blue Shield Global Core programs. Authoriza- tion by Blue Shield is required for more than two Out-of-Area Follow-up Care outpatient visits. Blue Shield may direct the patient to receive the additional follow-up services from their Primary Care Physician.

Outside of California. The Blue Shield Trio ACO HMO Health Plan provides coverage for you and your family for your Urgent Service needs when you or your family are temporarily traveling outside of California. Urgent Services may be ob- tained You can receive urgent care services from any provider; however, using the BlueCard® or Blue Shield Global Core programs Program, described herein, can be more cost-cost- effective and may eliminate the need for you to pay for the services when they are rendered and submit a claim for reimbursement. See the Inter-Plan Arrangements section of this EOC for more information on the BlueCard® and Note: Authorization by Blue Shield Global Core programsis required for care that involves a surgical or other procedure or inpatient stay. Out-of-Area Follow-up Care is also covered and services may be received through the BlueCard® BlueCard Program participating provider network or Blue Shield Global Core programsfrom any provider. Authoriza- tion However, authorization by Blue Shield is required for more than two Out-of-Area Follow-up Care outpatient visits. Blue Shield may direct the patient to receive the additional follow-follow- up services from their Primary Care the Personal Physician.