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.
Appears in 11 contracts
Samples: Agreement of Coverage, Agreement of Coverage, Agreement of Coverage
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.
Appears in 1 contract
Samples: Group Enrollment Agreement