Participating Hospital definition
Examples of Participating Hospital in a sentence
Upon stabilization, you may: • Be released from the emergency room if you do not need further treatment; • Receive additional inpatient treatment at the Participating Hospital; or • Transfer to a Participating Hospital for additional inpatient treatment if you received treatment of your Emergency Medical Condition at a Non- Participating Hospital.
During an inpatient stay at a Participating Hospital, Skilled Nursing Facility or other Participating facility, it may be appropriate for a Physician other than Your PCP to direct and oversee Your care, if Your PCP does not do so.
Further, if you received services from a Participating Hospital for such injuries or illness, the Hospital has the right to collect from you the difference between the amount paid by Blue Shield and the Hospital’s reasonable and necessary charges for such services when payment or reimbursement is received by you for medical expenses.
Except for Emergency Services, Urgent Services, and services received at a Participating Hospital under certain conditions, this plan does not cover services from Non- Participating Providers.
Except for Emergency Services and services received at a Participating Hospital under certain conditions, you will pay more for Covered Services from a Non-Participating Provider.