Health Care Facility Services. Covered Services include the following accommodations, services and supplies received during an admission to a Hospital, Ambulatory Surgical Facility, Skilled Nursing Facility, Residential Treatment Center or Hospice Care Facility. Semiprivate (or multibed unit) room, including bed, board and general nursing care. Private room including bed, board, and general nursing care, but only when treatment of the Insured's condition requires a private room. The semiprivate room rate will be allowed toward the private room rate when an Insured receives private room accommodations for any reason other than Medical Necessity. Inpatient accommodations provided in connection with the birth of a child shall be provided for a minimum of forty-eight (48) hours following an uncomplicated vaginal delivery or a minimum of ninety-six (96) hours following an uncomplicated delivery by cesarean section. This provision does not require an Insured to deliver in a Hospital or other healthcare facility or to remain therein for the minimum number of hours following delivery. Intensive care unit (including Cardiac Care Unit), including bed, board, general and special nursing care, and ICU equipment. Observation unit, including bed, board, and general nursing care not to exceed twenty-three (23) hours per day. Nursery charges for newborns. non-surgical Provider visits; operating, recovery, and treatment rooms and equipment (Hospital and Ambulatory Surgical Facility only); delivery and labor rooms and equipment (Hospital and Ambulatory Surgical Facility only); anesthesia materials and anesthesia administration by Hospital staff (Hospital and Ambulatory Surgical Facility only); clinical pathology and laboratory services and supplies; services and supplies for diagnostic tests required to diagnose Insured's Illness, Injury or other conditions but only when charges for the services and/or supplies are made by the facility (Hospital, Skilled Nursing Facility and Ambulatory Surgical Facility only); drugs consumed at the time and place dispensed which have been approved for general marketing in the United States by the Food and Drug Administration (FDA); dressings, splints, casts and other supplies for medical treatment provided by the Hospital from a central sterile supply department; oxygen and its administration; non-replaced blood, blood plasma, blood derivatives, and their administration and processing; intravenous injections and solutions; private duty...
Health Care Facility Services. Covered Services include the following accommodations, services and supplies when received during an admission to a Hospital, Ambulatory Surgical Facility, Skilled Nursing Facility, Residential Treatment Center or Hospice Care Facility. • Semiprivate (or multibed unit) room, including bed, board and general nursing care. • Private room including bed, board, and general nursing care, but only when treatment of the Insured's condition requires a private room. The semiprivate room rate will be allowed toward the private room rate when an Insured receives private room accommodations for any reason other than Medical Necessity. • Intensive care unit (including Cardiac Care Unit), including bed, board, general and special nursing care and ICU equipment. • Observation unit, including bed, board, and general nursing care not to exceed twenty-three (23) hours. • Nursery charges for routine care of newborn children regardless of whether or not an Injury or Illness exists. • non-surgical Provider visits; • operating, recovery, and treatment rooms and equipment (Hospital and Ambulatory Surgical Facility only); • anesthesia materials and anesthesia administration by Hospital staff (Hospital and Ambulatory Surgical Facility only); • clinical pathology and laboratory services and supplies; • services and supplies for diagnostic tests required to diagnose Insured's Illness, Injury or other conditions but only when charges for the services and/or supplies are made by the facility (Hospital, Skilled Nursing Facility and Ambulatory Surgical Facility only); • drugs consumed at the time and place dispensed which have been approved for general marketing in the United States by the Food and Drug Administration (FDA); • dressings, splints, casts and other supplies for medical treatment provided by the Hospital from a central sterile supply department; • oxygen and its administration; • non-replaced blood, blood plasma, blood derivatives and their administration and processing; • intravenous injections and solutions; • private duty nursing; • supportive services for a Hospice patient's family, including care for the patient which provides a respite from the stresses and responsibilities that result from the daily care of the patient and bereavement services provided to the family after the death of the patient (Hospice Care Facility only); and • sterilization procedures.
Health Care Facility Services. Covered Services include the following accommodations, services and supplies received during an admission to a Hospital, Ambulatory Surgical Facility, Skilled Nursing Facility, Residential Treatment Center or Hospice Care Facility. Semiprivate (or multibed unit) room, including bed, board and general nursing care.
