Anthem: CA AB72- Small Group and Individual Benefit Updates
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AB72- If you receive services from an In-Network Facility at which, or as a result of which, you receive non-Emergency Covered Services provided by an Out-of-Network Provider, you will pay no more than the same cost sharing that you would pay for those same non-Emergency Covered Services received from an In-Network Provider, and you will not owe the Out-of-Network Provider more than the In-Network cost sharing for such non-Emergency Covered Services.
These changes became effective on July 1, 2017 and are reflected in the revised Evidence of Coverage (EOC).
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