Common use of Urgent Care Outside the HMO Service Area Clause in Contracts

Urgent Care Outside the HMO Service Area. The Member will be covered for Urgent Care obtained from a Physician or licensed facility outside of the HMO Service Area if the Member is temporarily absent from the HMO Service Area and receipt of the health care service cannot be delayed until the Member returns to the HMO Service Area. A Member is covered for any follow-up care. Follow-up care is any care directly related to the need for Emergency Services which is provided to a Member after the Medical Emergency or Urgent Care situation has terminated. All follow-up and continuing care must be provided or arranged by a Member’s PCP. The Member must follow this procedure, or the Member will be responsible for payment for all services received.

Urgent Care Outside the HMO Service Area. The Member will be covered for Urgent Care obtained from a Physician or licensed facility outside of the HMO Service Area if the Member is temporarily absent from the HMO Service Area and receipt of the health care service cannot be delayed until the Member returns to the HMO Service Area. A Member is covered for any follow-up care. Follow-up care is any care directly related to the need for Emergency Services emergency care which is provided to a Member after the Emergency Medical Emergency Condition or Urgent Care situation has terminated. All follow-up and continuing care must be provided or arranged by a Member’s PCP. The Member must follow this procedure, or the Member will be responsible for payment for all services received.

Urgent Care Outside the HMO Service Area. The Member will be covered for Urgent Care obtained from a Physician or licensed facility outside of the HMO Service Area if the Member is temporarily absent from the HMO Service Area and receipt of the health care service cannot be delayed until the Member returns to the HMO Service Area. A Member is covered for any follow-up care. Follow-up care is any care directly related to the need for Emergency Services or Urgent Care which is provided to a Member after the Medical Emergency or Urgent Care situation has terminated. All follow-up and continuing care must be provided or arranged by a Member’s 's PCP. The Member must follow this procedure, or the Member will be responsible for payment for all follow-up services received.

Urgent Care Outside the HMO Service Area. The Member will be covered for Urgent Care obtained from a Physician or licensed facility outside of the HMO Service Area if the Member is temporarily absent from the HMO Service Area and receipt of the health care service cannot be delayed until the Member returns to the HMO Service Area. A Member is covered for any follow-up care. Follow-up care is any care directly related to the need for Emergency Services which is provided to a Member after the Medical Emergency care or Urgent Care situation has terminated. All follow-up and continuing care must be provided or arranged by a Member’s PCP. The Member must follow this procedure, or the Member will be responsible for payment for all services received.

Urgent Care Outside the HMO Service Area. The Member will be covered for Urgent Care obtained from a Physician or licensed facility outside of the HMO Service Area if the Member is temporarily absent from the HMO Service Area and receipt of the health care service cannot be delayed until the Member returns to the HMO Service Area. A Member is covered for any follow-up care. Follow-up care is any care directly related to the need for Emergency Services which is provided to a Member after the Medical Emergency or Urgent Care situation has terminated. All follow-up and continuing care must be provided or arranged by a Member’s PCPPCP unless it can be shown that it was not reasonably possible to communicate with the PCP within such time. The Member must follow this procedure, or the Member will be responsible for payment for all services received.