Common use of HOW YOUR COVERAGE WORKS Clause in Contracts

HOW YOUR COVERAGE WORKS. ‌ You are responsible for confirming that the Provider You are seeing or have been referred to see is an In-Network Hospital or an In-Network Provider for this Plan. Any claims incurred from a Provider who is not an In-Network Provider under this Plan are considered Out-of-Network services and are not covered. You may be responsible for the total amount billed by an Out-of-Network Provider, except for an Emergency, Urgent Care or for a service pre-approved as an Authorized Service, even if You have been referred by another Oscar In-Network Provider. ▇▇▇▇▇ can help You find an In-Network Hospital or In-Network Provider specific to Your Plan by calling customer service at 1-855-Oscar-55 or access our website at Services offered by providers Some Hospitals and other Providers do not provide one or more of the following services that may be covered under Your Agreement and that You or Your family member might need:

Appears in 2 contracts

Sources: Subscriber Agreement, Subscriber Agreement