Selection of Providers. A Member covered under this Agreement has the option of choosing where and to whom to go for Covered Services. A Member may utilize a Network Provider or an Out-of-Network Provider. However, Covered Services received from a Network Provider are usually provided at a higher level of benefits than those received from an Out-of-Network Provider and certain non-emergency Services may only be covered when rendered by a Network Provider. Such Services are specified in the Subsection V. COVERED SERVICES of SECTION SB - SCHEDULE OF BENEFITS of this Agreement. Please note that benefits for Telemedicine Services are only provided when such Services are rendered by a Telemedicine Provider who is a Network Provider.
Appears in 7 contracts
Sources: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Subscription Agreement