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What happens if I choose to have a medically necessary procedure done (e.g., knee surgery) at an out-of-area facility?

April 26, 2017facility happens knee medically necessary out-of-area procedure surgery

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What happens if I choose to have a medically necessary procedure done (e.g., knee surgery) at an out-of-area facility?

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Any elective procedure done out of the service area, even if ordered by a network provider, will only be payable at POS benefits (if payable under the plan). This service will not be covered if you do not have POS benefits.