Common use of Right to and Payment of Benefits Clause in Contracts

Right to and Payment of Benefits. Benefits of this plan are available only to Members. Except as required by law, we won’t honor any attempted assignment, garnishment or attachment of any right of this plan. In addition, Members may not assign a payee for Claims, payments or any other rights of this plan. At our option only and in accordance with the law, we may pay the benefits of this plan to: • The Subscriber; • A Provider; • Another health insurance carrier; • A Member; • Another party legally entitled under federal or state medical child support laws; or • Jointly to any of the above. Payment to any of the above satisfies our obligation as to payment of benefits. ACCESSING CARE‌ This plan makes available to you sufficient numbers and types of Providers to give you access to all covered services in compliance with applicable Washington State regulations governing access to Providers. Our Provider network includes primary care providers, specialty physicians, Hospitals, and a variety of other types of Providers, who are contracted in writing with us (“In-Network Providers”). Members of this plan may also choose to receive care from Providers who are not contracted with our network (“Out-of-Network Providers”) at any time. This plan’s benefits and your Out-of-Pocket Expenses depend on which Providers you see. With the exception of emergencies, you can control your Out-of-Pocket Expenses by choosing to seek care from In-Network Providers. If you receive care from an Out-of-Network Provider, you are always responsible for and will be billed for any amounts that exceed the Allowed Amount (this is known as “balance billing”).