Required Referrals. All services rendered by network providers require a network PCP referral except for those services you receive from a network PCP, emergency services, and permitted self-referred services. You are responsible for getting the referral when receiving services from a network provider. If a referral is not received, the service will not be covered. You will be responsible for paying for the billed charges.
Appears in 47 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Required Referrals. All services rendered by network providers require a network PCP referral except for those services you receive from a network PCP, emergency services, and permitted self-referred services. You are responsible for getting the referral when receiving services from a network provider. If you receive services from a network provider without a referral is not receivedor from a non-network provider, your copayment and deductible will be higher. See the service will not be coveredSummary of Medical Benefits for details. You will may be responsible for paying for the billed chargesto pay a non-network provider up to charge.
Appears in 22 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Required Referrals. All services rendered by network providers require a network PCP referral except Except for those services you receive from a network your designated PCP, emergency services, and permitted self-referred services, all services you receive from other network providers require a PCP referral. You are responsible for getting the referral when receiving services from a network provider. If a referral is not received, the service will not be covered. You will be responsible for paying for the billed charges.
Appears in 7 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
Required Referrals. All services rendered by network providers require a network PCP referral except Except for those services you receive from a network your designated PCP, emergency services, and permitted self-referred services, all services you receive from other network providers require a PCP referral. You are responsible for getting the referral when receiving services from a network provider. If you receive services from a network provider without a referral is not receivedor from a non-network provider, your copayment and deductible will be higher. See the service will not be coveredSummary of Medical Benefits for details. You will may be responsible for paying for the billed chargesto pay a non-network provider up to charge.
Appears in 5 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement