Common use of Selection of a Primary Medical Provider Clause in Contracts

Selection of a Primary Medical Provider. We require the designation of a Primary Medical Provider (PMP). You have the right to designate any PMP who is a Participating Provider in Your Service Area and who is available to accept [You and Your Enrolled Dependents][an Enrollee]. Until You make this designation, We will designate a PMP for You. For information on how to select a PMP, and for a list of PMPs in Your Delivery System, contact the customer service telephone number on the back of your I. D. Card or refer to the provider directory on Our website, xxx.xxxxxxxxxxxxxxxxx.xxx. [For Children, you][You] may designate a pediatrician as the PMP. [You do][An Enrollee does] not need Preauthorization or a referral from Us or from any other person (including a PMP) in order to obtain access to obstetrical or gynecological care from a Participating Provider who specializes in obstetrics or gynecology. The Participating Provider, however, may be required to comply with certain procedures, including obtaining Preauthorization for certain services or following a pre-approved treatment plan. For a list of Participating Providers who specialize in obstetrics or gynecology, contact the customer service telephone number on the back of your I.D. Card or refer to Our website, xxx.xxxxxxxxxxxxxxxxx.xxx.

Appears in 4 contracts

Samples: www.mdwise.org, www.mdwise.org, www.mdwise.org

AutoNDA by SimpleDocs
Time is Money Join Law Insider Premium to draft better contracts faster.