Common use of Physician and Provider Options Clause in Contracts

Physician and Provider Options. a. Within the Empower Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower In-Network (Participating) Tier A or Tier B Providers, or from Out- of-Network (Non-Participating) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from Out-of-Network (Non-Participating) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Providers will result in lower out-of-pocket expenses for you. You should always determine whether a provider is a Participating or a Non-Participating Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, see Part VIII.

Physician and Provider Options. a. Within the Empower Agility Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower Agility In-Network (Participating) Tier A or Tier B Providers, or from Out- Out-of-Network (Non-Non- Participating) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from Out-of-Network (Non-Participating) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Providers will result in lower out-of-pocket expenses for you. You should always determine whether a provider is a Participating or a Non-Participating Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, see Part VIII.

Physician and Provider Options. a. Within the Empower Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower In-Network (Participating) Tier A or Tier B Providersproviders, or from Out- Out-of-Network (Non-Participating) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from Out-of-Network (Non-Participating) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Participating Providers will result in lower out-of-pocket expenses for you. You should always determine whether a provider is a Participating or a Non-Participating Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, see Part VIII.. ACCESSING COVERED

Physician and Provider Options. a. Within the Empower Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower In-Network (Participating) Plan Tier A or Tier B Participating (In-Network) Providers, or from Out- Non- Participating (Out-of-Network (Non-ParticipatingNetwork) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from Non- Participating (Out-of-Network (Non-ParticipatingNetwork) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Participating Providers will result in lower out-of-of pocket expenses for you. You should always determine whether a provider is a Participating or a Non-Participating Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, see Part VIII.

Physician and Provider Options. a. Within the Empower Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower In-Network (Participating) Plan Tier A or Tier B Participating (In-Network) Providers, or from Out- Non- Participating (Out-of-Network (Non-ParticipatingNetwork) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from Non- Participating (Out-of-Network (Non-ParticipatingNetwork) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Participating Providers will result in lower out-of-of pocket expenses for you. You should always determine whether a provider is a Participating or a Non-Participating Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, information see Part VIII.

Physician and Provider Options. a. Within the Empower Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower In-Network (Participating) Tier A or Tier B Providers, or from Out- Out-of-Network (Non-Participating) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from PHCS providers or Out-of-Network (Non-Participating) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Providers will result in lower out-of-pocket expenses for you. You should always determine whether a provider is a Participating an In-Network or a NonOut-Participating of-Network Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, see Part VIII.

Physician and Provider Options. a. Within the Empower Choice Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower Choice In-Network (Participating) Tier A or Tier B Providers, or from Out- Out-of-Network (Non-Non- Participating) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from PHCS Network or Out-of-Network (Non-Participating) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Providers will result in lower out-of-pocket expenses for you. You should always determine whether a provider is a Participating or a Non-Participating Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, see Part VIII.

Physician and Provider Options. a. Within the Empower Plan Service Area, Members are entitled to receive Covered Benefits and Services from AvMed Empower In-Network (Participating) Tier A or Tier B Providers, or from Out- Out-of-Network (Non-Participating) Providers, as described in this Contract. b. Outside the Service Area, Members are entitled to receive Covered Benefits and Services from Out-of-Network (Non-Participating) Providers, as described in this Contract. c. Your choice of Health Professional or facility may result in lower or higher out-of-pocket expenses and you may be required to follow certain procedures to avoid additional costs. Please remember that using In-Network Providers will result in lower out-of-pocket expenses for you. You should always determine whether a provider is a Participating an In-Network or a NonOut-Participating of-Network Provider prior to receiving services. Doing so will help inform you of the amount you are responsible for paying out-of-pocket. For more information, see Part VIII.