Common use of Hospital Charges, Medical Practitioner and Specialist Fees Clause in Contracts

Hospital Charges, Medical Practitioner and Specialist Fees. a. Charges for in-patient or day-patient treatment made by a hospital including charges for accommodation (xxxx/semi-private or private); diagnostic tests; operating theatre charges including surgeon and anaesthetist charges; and charges for nursing care by a qualified nurse; drugs and dressings prescribed by a medical practitioner or specialist; and surgical appliances used by the medical practitioner during surgery. This includes pre and post-operative consultations while an in-patient or day-patient and includes charges for intensive care. The above benefit should be pre-authorised and its maximum benefit should be mutually agreed between the policyholder and the insurer and stipulated in the insurance contract. b. Actual ancillary charges: purchase and rental of crutches, canes, walking aids and self-propelled non-electronic wheelchairs within six months of an eligible medical condition which required in-patient or day-patient hospital treatment. The above maximum benefit should be mutually agreed between the policyholder and the insurer and stipulated in the insurance contract.

Appears in 3 contracts

Samples: Insurance Policy, Worldcare Policy Wording, Worldcare Policy Wording

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Hospital Charges, Medical Practitioner and Specialist Fees. a. Charges for in-patient or day-patient treatment made by a hospital including charges for accommodation (xxxx/semi-private or private); diagnostic tests; operating theatre charges including surgeon and anaesthetist charges; and charges for nursing care by a qualified nurse; drugs and dressings prescribed by a medical practitioner or specialist; and surgical appliances used by the medical practitioner during surgery. This includes pre and post-operative consultations while an in-patient or day-patient and includes charges for intensive care. The above benefit should be pre-authorised and its maximum benefit should be mutually agreed between the policyholder and the insurer and stipulated in the insurance contract. b. Actual ancillary charges: purchase and rental of crutches, canes, walking aids and self-propelled non-non- electronic wheelchairs within six months of an eligible medical condition which required in-patient or day-patient hospital treatment. The above maximum benefit should be mutually agreed between the policyholder and the insurer and stipulated in the insurance contract.

Appears in 1 contract

Samples: Insurance Policy

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