Outside the Service Area Sample Clauses

Outside the Service Area. If you’re traveling outside your service area and you need urgent or emergency care, go to the nearest appropriate health care facility. You are covered for the urgent or emergency care visit and one follow-up visit while outside the service area. Any additional follow-up care must be arranged by your PCP. Please see your subscriber certificate for more information.
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Outside the Service Area. This care is covered only during temporary absences from the Service Area in which the receipt of urgently needed services for an unexpected illness or injury cannot safely be delayed until the Member's return to the Service Area. Such care must be rendered by qualified medical personnel.
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Outside the Service Area. Outside of the Service Area, Members may receive Emergency Services or Urgent Care Services described in the Member Handbook and Supplemental Benefits brochures, if applicable. 3.5.1 Plan and the Member's PMG may elect to return the Member to a Plan Provider once such transfer is medically appropriate. If Plan and the PMG authorize such a transfer, either Plan or the PMG shall pay the necessary and reasonable costs of transportation to a Plan Provider. 3.5.2 Follow-up care must be provided or arranged by the Member's PMG. For purposes of this Agreement, "follow-up care" means any Benefits that are not Emergency Services or Urgent Care Services.
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Outside the Service Area. Outside of the Service Area, Members may receive Emergency Services or Urgent Care Services described in the Member Handbook and Supplemental Benefits brochures, if applicable. 3.5.1 Plan and the Member's Plan Medical Group may elect to return the Member to a Plan Provider once such transfer is medically appropriate. If Plan and the Plan Medical Group authorize such a transfer, either Plan or the Plan Medical Group shall pay the necessary and reasonable costs of transportation to a Plan Provider. 3.5.2 Follow-up care must be provided or arranged by the Member's Plan Medical Group. For purposes of this Agreement, "follow-up care" means any Benefits that are not Emergency Services or Urgent Care Services.
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Outside the Service Area. Subject to the foregoing limitations, Health Plan will pay 80% of Applicable Charges for Emergency Services received outside of the Service Area. Services and items received during an Emergency Services visit are included in the Supplemental Charge specified in this section S-1(b), except prescribed imaging services (including interpretation of imaging) and related materials in section D-1(b)(ii) are provided in accord with the Supplemental
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Outside the Service Area. Subject to the foregoing limitations, Emergency Services received outside the Service Area are provided upon payment of a $75.00 Supplemental Charge per visit. Services and items received during an Emergency Services visit are included in the Supplemental Charge specified in this section S-1(b), except prescribed imaging services (including interpretation of imaging) and related materials in section D-1(b)(ii) are provided in accord with the Supplemental Charge specified in D-1(b)(ii). The Supplemental Charge specified in this section S-1(b) does not apply if the Member is admitted directly to a hospital as an inpatient immediately following an emergency visit. However, it does apply if the Member is admitted as anything other than hospital inpatient. For example, the Supplemental Charge specified in this section S-1(b) does apply if the Member is admitted for observation following an emergency visit. If, following an emergency visit, the Member is directly admitted to a hospital as an inpatient, then the services and items provided during the emergency visit will be included in the applicable Supplemental Charge for hospital inpatient care. kpgroup_emerg_inarea_75d_outarea_75d_16r.doc rev 07/2015 Section 6-A(15) of the Group Medical and Hospital Service Agreement is amended to read as follows: (i) Physicians provide the professional services necessary to determine the need for such artificial aids and corrective appliances and attempt to make arrangements whereby they may be obtained, (ii) Senior Advantage Members are entitled to receive these items in accord with section T of the Senior Advantage benefit schedule, and (iii) hearing aids are provided only in accord with section FF of the benefit schedule. The benefit schedule of the Group Hospital and Medical Services Agreement is amended to add the following new section FF:
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Outside the Service Area. Subject to the foregoing limitations, Health Plan will pay 80% of Applicable Charges for Urgent Care Services received while the Member is temporarily outside the Service Area from medical practitioners other than Physicians and in facilities other than Health Plan-designated Hospitals.
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Related to Outside the Service Area

  • Service Area (a) SORACOM shall provide the SORACOM Air Global Service within the area designated on the web site of SORACOM (the “Service Area”), provided, that, the Service Area may be different if stated otherwise as specified by SORACOM separately. However, within the Service Area, you may not use the SORACOM Air Global Service in places where transmissions are difficult to send or receive. (b) The parties of this Agreement acknowledge that there may be countries or locations within which SORACOM may be restricted from providing the SORACOM Air Global Service due to applicable laws, regulations, decisions, rules or orders (“Restrictions”). During the Term, SORACOM will use reasonable efforts to monitor whether there are any such Restrictions. SORACOM may in its sole discretion and at any time, suspend, discontinue, limit, or modify the SORACOM Air Global Service or impose additional requirements on the provision of the SORACOM Air Global Service, as may be reasonably required to comply with any such Restrictions. (c) In no event will SORACOM be required to provide the SORACOM Air Global Service in countries or locations, or in a manner that would be in violation of the Restrictions and its failure to provide the SORACOM Air Global Service due to the Restrictions will not be deemed to be a breach of its obligations under this Agreement. (d) In the event that any Restriction, or any change in applicable law, regulation, decision, rule or order materially or adversely affects the delivery of the SORACOM Air Global Service (including the economic viability thereof), SORACOM will notify Subscribers in writing and the parties will negotiate in good faith regarding changes to this Agreement. If the parties cannot reach agreement within 30 days after notification from SORACOM requesting renegotiation, SORACOM may terminate the Agreement upon 30 days’ written notice to the Subscriber.

  • Service Areas HHSC authorizes the MA Dual SNP to add the MA Product to Texas service areas that are not identified in Attachment C, Proposed MA Product Service Areas, provided it receives prior CMS approval and complies with the notice requirements specified in this Agreement.

  • Outside Services Consultant shall not use the service of any other person, entity, or organization in the performance of Consultant’s duties without the prior written consent of an officer of the Company. Should the Company consent to the use by Consultant of the services of any other person, entity, or organization, no information regarding the services to be performed under this Agreement shall be disclosed to that person, entity, or organization until such person, entity, or organization has executed an agreement to protect the confidentiality of the Company’s Confidential Information (as defined in Article 5) and the Company’s absolute and complete ownership of all right, title, and interest in the work performed under this Agreement.

  • Access to the Services ID’s for access to Vendor Core Research and Analyst Inquiry may not be shared. Access to the Services is restricted to the number of named individuals (each a “Licensed User”) as identified in the Customer Purchase Order.

  • Scope of the Services UNOPS intends to retain the Contractor for the implementation of the Services, and the Contractor intends to provide the Services. The Contractor has represented to UNOPS that it has the appropriate experience, expertise, licences, and resources to undertake the Services and has agreed to undertake the Services in accordance with the Contract. In reliance on the Contractor’s representations UNOPS has entered into the Contract. The Contract sets out the terms and conditions upon which the Contractor will undertake the Services.

  • B1 The Services The Contractor shall supply the Services during the Contract Period in accordance with the Authority’s requirements as set out in the Specification and the provisions of the Contract in consideration of the payment of the Contract Price. The Authority may inspect and examine the manner in which the Contractor supplies the Services at the Premises during normal business hours on reasonable notice.

  • Description of the Services 1.1 The scope of the service to be rendered is described more fully in the Annexures and Schedules referred to below: ❑ Annexure A – Scope / Specification ❑ Annexure C – Pricing Schedule The Deliverables, due for completion by and governed by this Schedule 1. In the event that the Service Provider fails to meet the delivery dates as agreed, the following penalties will be imposed:

  • Access to the Service Subject to the rights and limitations set out in this Agreement and your payment of all Subscription Fees when due, we grant you a limited, non- exclusive, non-sublicensable, non-transferable (except as expressly permitted herein) right to permit Users to access and use the Service during the Subscription Term: (i) solely for your internal business purposes; and (ii) for the scope of use set out in your Order and/or the Documentation. You shall not permit any unauthorized access to or use of the Service and shall notify us immediately in the event that you become aware of any unauthorized access or use.

  • Use of the Services 1.1 We will make the Oracle services listed in Your order (the “Services”) available to You pursuant to this Agreement and Your order. Except as otherwise stated in this Agreement or Your order, You have the non- exclusive, worldwide, limited right to use the Services during the period defined in Your order, unless earlier terminated in accordance with this Agreement or Your order (the “Services Period”), solely for Your internal business operations. You may allow Your Users (as defined below) to use the Services for this purpose, and You are responsible for their compliance with this Agreement and Your order. 1.2 The Service Specifications describe and govern the Services. During the Services Period, we may update the Services and Service Specifications (with the exception of the Data Processing Agreement as described below) to reflect changes in, among other things, laws, regulations, rules, technology, industry practices, patterns of system use, and availability of Third Party Content (as defined below). Oracle updates to the Services or Service Specifications will not materially reduce the level of performance, functionality, security or availability of the Services during the Services Period of Your order. 1.3 You may not, and may not cause or permit others to: (a) use the Services to harass any person; cause damage or injury to any person or property; publish any material that is false, defamatory, harassing or obscene; violate privacy rights; promote bigotry, racism, hatred or harm; send unsolicited bulk e-mail, junk mail, spam or chain letters; infringe property rights; or otherwise violate applicable laws, ordinances or regulations; (b) perform or disclose any benchmarking or availability testing of the Services; (c) perform or disclose any performance or vulnerability testing of the Services without Oracle’s prior written approval, or perform or disclose network discovery, port and service identification, vulnerability scanning, password cracking or remote access testing of the Services; or (d) use the Services to perform cyber currency or crypto currency mining ((a) through (d) collectively, the “Acceptable Use Policy”). In addition to other rights that we have in this Agreement and Your order, we have the right to take remedial action if the Acceptable Use Policy is violated, and such remedial action may include removing or disabling access to material that violates the policy.

  • Description of the service 10.1.1 Automatic transfer service implies a transfer by the bank of the funds from the client’s account without further consent of the client, on the basis of fixed amount determined by the client in its application form or of information provided by the client’s creditor to the bank on the client’s debt. 10.1.2 The parties agree that the payment order created (generated) by the bank for the purposes of automatic transfer services shall have the legal force equal to the document having been printed on the paper and executed by the person(s) authorized to manage of the account. 10.1.3 The bank shall carry out the automatic transfer services in accordance with requirements and conditions stipulated in this agreement, the application on registration for automatic transfer service and the sources disseminated by the bank. 10.1.4 For the purposes of obtaining automatic transfer services the client shall apply to the bank with the application as per paragraph 1.2 of this agreement.