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Out-of-Network Care

As a member of MediGold's HMO plans, you must get your health care from MediGold’s network providers with the exception of emergency or urgently needed services and out-of-network renal dialysis, unless authorized in advance.

As a member of MediGold's PPO plans, both in- and out-of-network services are covered. Out-of-network services will cost more than in-network services with the exception of emergency or urgently needed services and out-of-network renal dialysis.

For information on out-of-network pharmacy benefits, please refer to your Evidence of Coverage document in the Medical Benefits section.

Last Updated 10/1/2014 7:56:26 AM