Services Not Covered by CBH

Out-of-Network Providers

An out-of-network provider is a provider that does not have a contract with CBH to provide services to members. There may be a time when you need to use a provider or hospital that is not in CBH’s network. If this happens, you can contact CBH Member Services. CBH will check to see if there is another provider in your area that can give you the same type of care you need. If CBH cannot give you a choice of at least two providers in your area, CBH will cover the treatment by the out-of-network provider.

Getting Care While Outside of CBH’s Service Area

If you are outside of CBH’s service area and have a medical emergency, go to the nearest emergency room or call 911. For emergency medical conditions, you do not have to get approval from CBH to get care.

If you need care for a non-emergency condition while outside of the service area, contact CBH Member Services, which will help you to get the most appropriate care.

CBH will not pay for services received outside of the United States.

Out-of-Plan Services

You may be eligible to receive services other than those provided by CBH. If you would like help arranging—but not paying for—these services, please contact CBH Member Services.