12761

Member for

7 years 1 month
Submitted by Site Factory admin on
Note: when a member is admitted directly from a Tier 1, Tier 2, or Tier 3 emergency room for inpatient emergency medical care, the cost share amount for covered inpatient hospital services will be determined by the Tier of the hospital. When member is admitted directly from an out-of-network emergency room for inpatient emergency medical care, the cost share amount for covered inpatient hospital services will be based on the Tier 3 inpatient benefit.