Common use of REQUIRED SECOND SURGICAL OPINION Clause in Contracts

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify Redbridge Network & Healthcare, Inc at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or Redbridge Network & Healthcare, Inc, it must be conducted by a physician chosen and arranged by Redbridge Network & Healthcare, Inc. Only those second surgical opinions required and coordinated by Redbridge Network & Healthcare, Inc 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 Redbridge Network & Healthcare, Inc. If the second or third 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 PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDITION TO THE PLAN DEDUCTIBLE AND COINSURANCE. (IF APPLICABLE).

Appears in 2 contracts

Samples: assuria.sr, www.assuria.sr

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REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify Redbridge Network & Healthcare, Inc at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or Redbridge Network & Healthcare, Inc, it must be conducted by a physician chosen and arranged by Redbridge Network & Healthcare, Inc. Only those second surgical opinions required and coordinated by Redbridge Network & Healthcare, Inc 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 Redbridge Network & Healthcare, Inc. If the second or third 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 OPINIONOPINION , THE INSURED WILL BE RESPONSIBLE FOR THIRTY PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDITION TO THE PLAN DEDUCTIBLE AND COINSURANCE. (IF APPLICABLE).

Appears in 1 contract

Samples: www.assuria.sr

REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify Redbridge Network & Healthcare, Inc at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or Redbridge Network & Healthcare, Inc, it must be conducted by a physician chosen and arranged by Redbridge Network & Healthcare, Inc. Only those second surgical opinions required and coordinated by Redbridge Network & Healthcare, Inc 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 Redbridge Network & Healthcare, Inc. If the second or third 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 PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDITION TO THE PLAN DEDUCTIBLE AND COINSURANCE. COINSURANCE (IF APPLICABLE).

Appears in 1 contract

Samples: www.assuria.xyz

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REQUIRED SECOND SURGICAL OPINION. If a surgeon has recommended that an Insured undergo any non-emergency surgical procedure, the Insured must notify Redbridge Network & Healthcare, Inc at least seventy-two (72) hours prior to the scheduled procedure. If a second surgical opinion is deemed necessary by either the Insurer or Redbridge Redb ridge Network & Healthcare, Inc, it must be conducted by a physician chosen and arranged by Redbridge Network & Healthcare, Inc. Only those second surgical opinions required and coordinated by Redbridge Network & Healthcare, Inc 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 Redbridge Network & Healthcare, Inc. If the second or third 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 PERCENT (30%) OF ALL COVERED MEDICAL AND HOSPITAL CHARGES RELATED TO THE CLAIM IN ADDITION TO THE PLAN DEDUCTIBLE AND COINSURANCE. COINSURANCE (IF APPLICABLE).

Appears in 1 contract

Samples: www.assuria.sr

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