Common use of Prenatal Care Third Trimester Clause in Contracts

Prenatal Care Third Trimester. For Members entering the CONTRACTOR’s Health Plan in the third trimester of pregnancy who is 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.

Prenatal Care Third Trimester. For Members entering the CONTRACTOR’s Health Plan in the third trimester of pregnancy who is 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- of-network Provider.