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Testing the abilities - Regence BlueShield

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Outside <strong>the</strong> Service Area<br />

• Outside <strong>the</strong> service area, covered services of <strong>the</strong> plan will be provided for<br />

emergency room, ambulance and urgent care services.<br />

• Urgent care services mean covered services of <strong>the</strong> plan that are provided<br />

outside of <strong>the</strong> service area and are not PPACA preventive or any o<strong>the</strong>r<br />

preventive care services.<br />

• Preventive care is not covered outside <strong>the</strong> service area<br />

• Benefits will be subject to <strong>the</strong> same deductible, copay, coinsurance and<br />

coinsurance maximum levels as apply to those covered services when<br />

provided by a RealValue provider inside <strong>the</strong> service area.<br />

• Member must contact <strong>Regence</strong> within 24 hours or as soon as reasonably<br />

possible when admitted to a hospital outside <strong>the</strong> service area for inpatient<br />

hospital admissions outside <strong>the</strong> service area to be covered<br />

© 2012 <strong>Regence</strong>. Private and Confidential.<br />

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