Payment Policies
SCOTT & WHITE HEALTH PLAN
POLICIES AND PROCEDURES
Payment Policy: "Lesser of" Language
Out-of-Network Fee Schedule (requires login to MyBenefits) - The reimbursement for covered services received from non-participating providers will be an allowed amount based upon a percentage of the amount that would be paid under Medicare for a given service.
Payment Policy: Out-of-Network (OON) Facility-Based Provider Payment