Common use of Prenatal Care First & Second Trimester Clause in Contracts

Prenatal Care First & Second Trimester. For Members entering the CONTRACTOR’s Health Plan in the first or second trimester of pregnancy who are receiving medically necessary covered prenatal care services the day before Enrollment, the CONTRACTOR shall be responsible for the costs of continuation of such medically necessary prenatal care services without any form of prior approval and without regard to whether such services are being provided by a contracted or out- of-network Provider until such time as the CONTRACTOR can reasonably transfer the Member to a contract Provider without impeding service delivery that, if not provided, might be harmful to the Member’s health.

Prenatal Care First & Second Trimester. For Members entering the CONTRACTOR’s Health Plan in the first or second trimester of pregnancy who are receiving medically necessary covered prenatal care services the day before Enrollment, the CONTRACTOR shall be responsible for the costs of continuation of such medically necessary prenatal care services. The CONTRACTOR shall provide these services without any form of prior approval and without regard to whether such services are being provided by a contracted or out- out-of-network Provider until such time as the CONTRACTOR can reasonably transfer the Member to a contract network Provider without impeding service delivery that, if not provided, might be harmful to the Member’s health.

Prenatal Care First & Second Trimester. For Members entering the CONTRACTOR’s Health Plan in the first or second trimester of pregnancy who are receiving medically necessary covered prenatal care services the day before Enrollmentenrollment, the CONTRACTOR shall be responsible for the costs of continuation of such medically necessary prenatal care services without any form of prior approval and without regard to whether such services are being provided by a contracted or out- ofout-of- network Provider provider until such time as the CONTRACTOR can reasonably transfer the Member to a contract Provider without impeding service delivery that, if not provided, might be harmful to the Member’s health.

Prenatal Care First & Second Trimester. For Members entering the CONTRACTOR’s Health Plan in the first or second trimester of pregnancy who are receiving medically necessary covered prenatal care services the day before Enrollmentenrollment, the CONTRACTOR shall be responsible for the costs of continuation of such medically necessary prenatal care services without any form of prior approval and without regard to whether such services are being provided by a contracted or out- of-network Provider provider until such time as the CONTRACTOR can reasonably transfer the Member to a contract Provider without impeding service delivery that, if not provided, might be harmful to the Member’s health.