Non-Covered Services

Non-Covered Outpatient Hospital Services

The following outpatient hospital services are not covered and are ineligible for payment:

1. Services provided by an employee of the hospital, such as an intern or a resident
2. Services lasting 24 hours or more, except for observation status
3. Detoxification that is not medically necessary to treat an emergency
4. Outpatient hospital services that immediately precede an inpatient hospital admission

Non-Covered Inpatient Hospital Services

The following inpatient hospital services are not covered:

1. Leave days
2. Leaves of absence
3. Reserve beds

PW_11-18_495
Updated_11/09/2018