Does Insurance Cover Out of State Emergencies?

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Common Questions

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This video emphasizes the protocols for dealing with medical emergencies out of state:

  • In genuine emergencies, prioritize getting to the hospital immediately without contacting your insurer for pre-approval.

  • Emergency care received from out-of-network providers will not be subject to higher charges than in-network services.

  • Patients may still owe standard in-network fees for emergency care, such as deductibles and copayments.

  • Coverage applies to actual emergencies; subjective assessments of what constitutes an emergency (e.g. a bad cold perceived as emergency) may not be covered.

  • Exercise good judgment in determining what constitutes a true emergency to ensure coverage applies.