Examples of Air Ambulance Services in a sentence
For Air Ambulance Services received from a Non-Participating Provider, if the services would be covered if received from a Participating Provider, the amount used to calculate Your cost-share requirements, including Deductibles, Copayments, and Coinsurance, will be the lesser of the Qualifying Payment Amount or billed charges.
Air and Water Ambulance Air Ambulance Services are subject to Medical Necessity review by Xxxxx.
Air Ambulance Services are subject to Medical Necessity review by the Plan.
For Emergency Medical Conditions, the Air Ambulance Service must be specifically requested by police or medical authorities present at the site with the Member in order for Air Ambulance Services to be covered.
Benefits for Air Ambulance Services are available for Members with an Emergency Medical Condition.
If The Plan includes Air Ambulance Services as a covered service, and such services are provided by a Non- Participating Provider, the most the Non-Participating Provider may bill the Member is the In-Network cost-share.
If You get other services at Participating Facilities, Non-Participating Providers can’t balance bill You unless You give written consent and give up Your protections.If Your Plan includes Air Ambulance Services as a covered service, and such services are provided by a Non-Participating Provider, the most the Non-Participating Provider may bill You is Your in-network cost-share.
The Member cannot be balance billed for these Air Ambulance Services.
For Air Ambulance Services received from a Non-Participating Provider, if the services would be covered if received from a Participating Provider, the amount used to calculate the Member’s cost-share requirements, including Deductibles, Copayments, and/or Coinsurance, will be the lesser of the Qualifying Payment Amount or billed charges.
EXCLUSIONS:The following services are excluded from coverage: Acupuncture Air Ambulance Services when a Client could be safely transported by ground ambulance or by means other than ambulance.