Eligible Emergency Room visits defined as Medical Emergency apply towards deductible then covered at 80% for in network and 80% or Reasonable and Customary out-of-network if admitted inpatient.
Medical Emergency means the occurrence of a sudden, serious and unexpected Sickness or Injury. In the absence for immediate medical attention, a reasonable person could believe the condition would result in: 1) Death; 2) Placement of the Insured's health in jeopardy; 3) Serious impairment of bodily functions; 4) Serious dysfunction of any body organ or part; or 5) In the case of a pregnant woman, serious jeopardy to the health of the fetus.
Urgent Care
Eligible Urgent Care Clinic charges will be covered the same as outpatient emergancy care according to the networks used. To find an Urgent Care clinic
click here.
Insured Students have access Care Managment, designed to help manage the care of patients who have a catastrophic or extended care Accident or Sickness. Please contact 1-800-626-5520.
