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Out of Network Services

In some instances, if MedStar Family Choice is unable to provide a necessary and covered service to a member within the MedStar Family Choice network, MedStar Family Choice may allow the service to be provided out of network. In order for this to happen, the provider must contact MedStar Family Choice for approval. MFC has 14 days to process a request once all necessary information has been received. An additional 14 days can be granted if requested by the member or provider, or if MFC feels it is beneficial to the member. The decision may be shorter depending on the urgency of the request. MedStar Family Choice will review all requests on an individual basis. In cases where out of network services have been approved, you are not responsible for the cost of these services.

Information current as of: 11/09/15