Common use of Services for Emergency Care Clause in Contracts

Services for Emergency Care. The Benefits of this plan will be provided for Emergency Services received anywhere in the world for the emergency care of an illness or injury. For Emergency Services from either a Participating Provider or a Non-Participating Provider, the Member is only responsible for the applicable Deductible, Copayment or Coinsurance as shown in the Summary of Benefits, and is not responsible for any Allowable Amount Blue Shield is obligated to pay. Members who reasonably believe that they have an emergency medical condition which requires an emergency response are encouraged to use the “911” emergency response system (where available) or seek immediate care from the nearest Hospital. Non-Emergency Covered Services or follow-up services (e.g., suture removal, wound check, etc.) should be received in a Participating Physician’s office.