Common use of Outside of California Clause in Contracts

Outside of California. The Blue Shield Access+ HMO provides coverage for you and your family for your Urgent Service needs when you or your family are temporarily traveling outside of California. You can receive urgent care services from any provider; however, using the BlueCard® Program, described herein, can be more cost-effective and eliminate the need for you to pay for the services when they are rendered and submit a claim for reimbursement. Note: Authorization by Blue Shield is required for care that involves a surgical or other procedure or inpatient stay. Out-of-Area Follow-up Care is covered and services may be received through the BlueCard® Program participating pro- vider network or from any provider. 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-up services from the Personal Physician.

Appears in 2 contracts

Samples: Group Health Service Contract, Group Health Service Contract

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Outside of California. The Blue Shield Access+ HMO provides coverage for you and your family for your Urgent Service needs when you or and your family are temporarily traveling outside of California. You can receive urgent care services from any provider; however, using the BlueCard® Program, described herein, can be more cost-effective and eliminate the need for you to pay for the services when they are rendered and submit a claim for reimbursement. Note: Authorization by Blue Shield is required for care that involves a surgical or other procedure or inpatient stay. Out-of-Out of Area Follow-up Care is covered and services may be received through the BlueCard® Program participating pro- vider provider network or from any provider. 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-up services from the Personal Physician.

Appears in 1 contract

Samples: Service Agreement

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Outside of California. The Blue Shield Access+ HMO provides coverage for you and your family for your Urgent Service needs when you or your family are temporarily traveling outside of California. You can receive urgent care services from any provider; howeverhow- ever, using the BlueCard® Program, described herein, can be more cost-effective and eliminate the need for you to pay for the services when they are rendered and submit a claim for reimbursement. Note: Authorization by Blue Shield is required re- quired for care that involves a surgical or other procedure or inpatient stay. Out-of-Area Follow-up Care is covered and services may be received through the BlueCard® Program participating pro- vider network or from any provider. 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-up services from the Personal Physician.

Appears in 1 contract

Samples: Group Health Service Contract

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