Does the PPO Plan cover emergency care?
The PPO provides benefits for the treatment of an emergency. If you go to an emergency room for treatment of an emergency within 48 hours after the incident that caused the emergency, your benefits will be the same regardless of whether you use an in-network or out-of-network provider. After 48 hours, the in-network benefit will be the same; the out-of-network benefit requires you to meet the annual deductible. If you are admitted to the hospital from the emergency room or held for observation, your emergency copayment will be waived. If are admitted as a hospital inpatient, your benefits will be paid like any other inpatient facility or professional charges. If you are admitted to an out-of-network hospital, you may need to transfer to a participating hospital once your condition has been stabilized in order to continue receiving in-network benefits.
The PPO provides benefits for the treatment of an emergency. If you go to an emergency room for treatment of an emergency within 48 hours after the incident that caused the emergency, your benefits will be the same regardless of whether you use an in-network or out-of-network provider. After 48 hours, the in-network will be the same; the out-of-network payment will require you to meet the annual deductible. If you are admitted to the hospital from the emergency room or held for observation, your emergency copayment will be waived. Once you are admitted as a hospital inpatient, your benefits will be paid like any other inpatient facility or professional charges. If you are admitted to an out-of-network hospital, you may need to transfer to a participating hospital once your condition has been stabilized in order to continue receiving in-network benefits.
