Selection of Providers. A Member covered under this Agreement has the option of choosing where and to whom to go for Covered Services. A Member may utilize a Network Provider or an Out-of-Network Provider. However, Covered Services received from a Network Provider are usually provided at a higher level of benefits than those received from an Out-of-Network Provider and certain non-emergency Services may only be covered when rendered by a Network Provider. Such Services are specified in the Subsection V. COVERED SERVICES of SECTION SB - SCHEDULE OF BENEFITS of this Agreement. Please note that benefits for Telemedicine Services are only provided when such Services are rendered by a Telemedicine Provider who is a Network Provider.
Appears in 7 contracts
Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement
