Common use of Within the HPN Service Area Clause in Contracts

Within the HPN Service Area. If an Injury or Illness requires Emergency Services, the Member should notify HPN as soon as reasonably possible after the onset of the emergency. HPN will review the use of the emergency room Retrospectively for appropriateness and to determine if the Covered Services received were Medically Necessary. Benefits for such services are payable if the services are determined to have been Emergency Services, as defined in this AOC.

Within the HPN Service Area. If an Injury or Illness requires Emergency Services, the Member should notify HPN as soon as reasonably possible after the onset of the emergency. HPN will review the use of the emergency room Retrospectively for appropriateness and to determine if the Covered Services services received were Medically Necessary. Benefits for such services are payable if the services are determined to have been be Emergency Services, Services as defined in this AOCEOC.