Common use of REQUIRED SECOND SURGICAL OPINION Clause in Contracts

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION TO THE PLAN DEDUCT- IBLE AND COINSURANCE (IF APPLICABLE).

Appears in 4 contracts

Samples: www.bupasalud.com, www.bupasalud.com, www.bupasalud.com

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REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical opinion surgical opin- ion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION TO THE PLAN DEDUCT- IBLE AND COINSURANCE COINSU-RANCE (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com, www.bupasalud.com

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedureprocedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINIONOPIN- ION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION ADDITION TO THE PLAN DEDUCT- IBLE DEDUCTIBLE AND COINSURANCE COINSU-RANCE (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com, www.bupasalud.com

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedureprocedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINIONOPIN- ION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT thirty percent (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION ADDITION TO THE PLAN DEDUCT- IBLE DEDUCTIBLE AND COINSURANCE (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com.ec, www.bupasalud.com.mx

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical surgi- cal opinions required and coordinated coordi- nated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical surgi- cal opinion from a physician chosen by USA Medical Services. If the second or third sur- gical opinion surgical opin- ion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINIONOPINION , THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION TO THE PLAN DEDUCT- IBLE AND COINSURANCE COINSURANCE. (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com, www.bupasalud.com

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedureprocedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. BUPA PRESTIGE IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION ADDITION TO THE PLAN DEDUCT- IBLE DEDUCTIBLE AND COINSURANCE (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com, www.bupasalud.com.co

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedureprocedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. BUPA PRESTIGE IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINIONOPIN- ION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION ADDITION TO THE PLAN DEDUCT- IBLE DEDUCTIBLE AND COINSURANCE (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com, www.bupasalud.com

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedureprocedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION ADDITION TO THE PLAN DEDUCT- IBLE DEDUCTIBLE AND COINSURANCE (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com, www.bupasalud.com

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REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical surgi- cal opinions required and coordinated coordi- nated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical surgi- cal opinion from a physician chosen by USA Medical Services. If the second or third sur- gical opinion surgical opin- ion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION TO THE PLAN DEDUCT- IBLE AND COINSURANCE (IF APPLICABLE).

Appears in 2 contracts

Samples: www.bupasalud.com.pa, www.bupasalud.com

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION TO THE PLAN DEDUCT- IBLE AND COINSURANCE (IF APPLICABLE).. BENEFITS

Appears in 1 contract

Samples: www.bupasalud.com

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical opinion surgical opin- ion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION TO THE PLAN DEDUCT- IBLE AND COINSURANCE COINSU-RANCE (IF APPLICABLE).

Appears in 1 contract

Samples: www.bupasalud.com

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recom- mended recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify USA Medical Services at least seventy-two (72) hours prior to the scheduled pro- cedureprocedure. If a second surgical opinion is deemed necessary by either the Insurer or USA Medical Services, it must be conducted by a physician chosen and arranged by USA Medical Services. Only those second surgical opinions required and coordinated by USA Medical Services are covered. In the event the second surgical opinion contradicts or does not confirm the need for surgery, the Insurer will also pay for a third surgical opinion from a physician chosen by USA Medical Services. If the second or third sur- gical surgical opinion confirms the need for surgery, benefits for the surgery will be paid according to this policy. IF THE INSURED DOES NOT OBTAIN A REQUIRED SECOND SURGICAL OPINION, THE INSURED WILL BE RESPONSIBLE FOR THIRTY PER- CENT PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDI- TION ADDITION TO THE PLAN DEDUCT- IBLE DEDUCTIBLE AND COINSURANCE COINSU-RANCE (IF APPLICABLE).

Appears in 1 contract

Samples: www.bupasalud.com

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