ANNUAL GYNECOLOGICAL EXAM Sample Clauses

ANNUAL GYNECOLOGICAL EXAM. Benefits are provided at a usual, customary and reasonable fee for one exam, pap smear and mammogram in conjunction with an annual Gynecological exam. Deductible and Coinsurance do not apply for In-Network only. WELL-CHILD CARE Benefits are provided at the usual, customary and reasonable fee for routine exams, blood tests and immunizations required by the State during the child’s first seven years. Deductible and Coinsurance do not apply for In-Network only. Exams are limited to the following schedule: Newborn to 1 year - four exams 1 year to 2 years - two exams per year 2 years to 9 years - one exam per year.
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ANNUAL GYNECOLOGICAL EXAM. Benefits are provided at a usual, customary and reasonable fee for one exam, pap smear and mammogram in conjunction with an annual Gynecological exam. Deductible and Coinsurance do not apply for In- Network only. WELL-CHILD CARE Benefits are provided at the usual, customary and reasonable fee for routine exams, blood tests and immunizations required by the State during the child’s first seven years. Deductible and Coinsurance do not apply for In-Network only. Exams are limited to the following schedule: Newborn to 1 year - four exams 1 year to 2 years - two exams per year 2 years to 9 years - one exam per year. Appendix D Continued PREADMISSION CERTIFICATION If your doctor indicates that you or any family member is to be admitted as an inpatient at a hospital or clinic, a preadmission certification is required. This review is provided at no charge to you to protect you and your dependents against unnecessary or extended hospital confinement. When hospitalization is recommended, you must call Professional Risk Management, Inc., (PRM) Precertification Center at (000) 000-0000 or 0-000-000-0000 prior to your scheduled date of admission. A medical professional will discuss your case in strictest confidence with your doctor and, with input from your doctor, monitor your confinement so that your hospital stay is not extended unnecessarily. If either you or your dependent is admitted without obtaining Preadmission Certification, an added deductible of $500.00 will be applied to your hospital coverage. The room and board charges for your hospital confinement that Professional Risk Management, Inc., does not certify as medically necessary will be denied unless your physician can justify the noncertified days. However, any ancillary charges in conjunction with these uncertified days will be covered according to your plan of benefits. Note: Emergency admissions are not subject to any penalties, but certification of days is required. Professional Risk Management, Inc. should be contacted within 48 hours of an emergency admission. DENTAL INSURANCE
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Related to ANNUAL GYNECOLOGICAL EXAM

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