Common use of Coverage in a Department of Veterans Affairs or Military Hospital Clause in Contracts

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount and Coinsurance amount. The United States will have the right to collect from Us the reasonable cost of healthcare services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount and Coinsurance amount.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount. The United States will have the right to collect from Us the reasonable cost of healthcare health care services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amountCoinsurance. The United States will have the right to collect from Us the reasonable cost of healthcare services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amountCoinsurance.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount. The United States will have the right to collect from Us the reasonable cost of healthcare dental services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- non-service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount. The United States will have the right to collect from Us the reasonable cost of healthcare dental services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us the Company to the extent the veteran would be eligible for Benefits for such care or services from Us the Company if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount deductible and Coinsurance coinsurance or copayment amount. The United States will have the right to collect from Us the Company the reasonable cost of healthcare services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us the Company if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount deductible, coinsurance and Coinsurance amount.copayment amount.‌

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount. The United States will have the right to collect from Us the reasonable cost of healthcare health care services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- non-service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount. The United States will have the right to collect from Us the reasonable cost of healthcare dental services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount.. 97176EX-039 R01/21 37 u.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us the Company to the extent the veteran would be eligible for Benefits for such care or services from Us the Company if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount deductible and Coinsurance coinsurance or copayment amount. The United States will have the right to collect from Us the Company the reasonable cost of healthcare services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us the Company if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount deductible, coinsurance and Coinsurance copayment amount.

Coverage in a Department of Veterans Affairs or Military Hospital. In any case in which a veteran is furnished care or services by the Department of Veterans Affairs for a non- non-service-connected disability, the United States will have the right to recover or collect the reasonable cost of such care or services from Us to the extent the veteran would be eligible for Benefits for such care or services from Us if the care or services had not been furnished by a department or agency of the United States. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount. amount.‌‌‌ The United States will have the right to collect from Us the reasonable cost of healthcare dental services incurred by the United States on behalf of a military retiree or a military Dependent through a facility of the United States military to the extent that the retiree or Dependent would be eligible to receive reimbursement or indemnification from Us if the retiree or Dependent were to incur such cost on his or her or her own behalf. The amount that the United States may recover will be reduced by the appropriate Deductible amount Amount and Coinsurance amount.