Infertility. Diagnosis and medically indicated treatments for physical conditions causing infertility. Diagnostic workup is Covered. Treatment (i.e. hormone replacement) is not Covered.
Infertility. Diagnosis and medically indicated treatments for physical conditions causing infertility.
Infertility. 1) a demonstrated condition recognized by a li- censed physician and surgeon as a cause for infertility; or
Infertility. The inability of a couple to conceive after 1 year of unprotected intercourse. Inpatient – A Member who is admitted to the Hospital as a registered bed patient and for whom a Bed, Board, and General Nursing Service charge is made. An Inpatient’s medical symptoms or condition must require a Physician or nurse to intervene continuously, 24 hours a day. If the services can be safely provided as an Outpatient, a Member does not meet the criteria to be an Inpatient. Lifetime Maximum Payment – Under this Plan, the most We will pay on Your behalf for all medical Benefits, or for all Benefits payable for certain Covered Services, as shown in the Schedule of Benefits. Member – A Subscriber or a Dependent who is enrolled in this Plan. We may use common words in this Plan to describe the Benefits it provides. You, Your, and Yourself mean the Subscriber or enrolled Dependent.
Infertility. Any medical condition caus- ing the inability or diminished ability to reproduce.
Infertility. Infertility services are medical/surgical services performed to investigate and treat the causes of Infertility. Causes of Infertility include the inability to conceive (get pregnant) or cause pregnancy, maintain pregnancy until full term, or maintain or improve future desired fertility. Services are limited to: (i) Diagnostic services for the Member or Covered partner(s) to decide cause or reason for infertility; (ii) Pathology and laboratory services; (iii) Surgical services and; (iv) Drugs prescribed for Infertility treatment.
Infertility. This benefit has one or more exclusions as specified in the Exclusions Section. Diagnosis and medically indicated treatments for physical conditions causing infertility.
Infertility. The inability of a couple to conceive after one (1) year of unprotected intercourse.
Infertility. Covered services include the diagnosis of the underlying cause of infertility; treatment for infertility after diagnosis is not covered. Infusion Therapy Please see “Therapy Services” later in this part. Inpatient Facility Services Precertification is required for all inpatient Facility admissions and stays. Precertification is NOT required for emergency and inpatient Hospital stays for the delivery of a child or mastectomy surgery, including the length of Hospital stays associated with mastectomy and/or breast reconstruction surgery for breast. For emergency admissions, You, Your authorized representative or Physician must tell Us within forty-eight (48) hours of the admission or as soon as possible within a reasonable period of time (see the part called GETTING APPROVAL FOR BENEFITS for details). Inpatient Facility Care Covered Services include acute care in a Hospital or Residential Treatment Center setting. Benefits for room, board, and nursing services include: • A room with two or more beds. • An approved room in a Special Care Unit. The unit must have Facilities, equipment, and supportive services for intensive care or critically ill patients. • A private room, if medically necessary • Meals, special diets. • General nursing services. Benefits for ancillary services include: • Operating, childbirth, and treatment rooms and equipment. • Prescribed Drugs. • Anesthesia and oxygen supplies and services given by the Hospital. • Medical and surgical dressings and supplies, casts, and splints. • Diagnostic services. • Therapy services.
Infertility. ....means the inability to conceive a child after one year of unprotected sexual intercourse or the inability to sustain a successful pregnancy. INPATIENT means that you are a registered bed patient and are treated as such in a health care facility. INVESTIGATIONAL OR INVESTIGATIONAL SERVICES AND SUPPLIES means procedures, drugs, de- vices, services and/or supplies which (1) are provided or performed in special settings for research purposes or under a controlled environment and which are being studied for safety, efficiency and effectiveness and/or (2) are awaiting endorsement by the appropriate National Medical Speciality College or federal government agency for general use by the medical community at the time they are rendered to you, and (3) specifically with regard to drugs, combinations of drugs and/or devices, are not finally approved by the Federal Drug Administration at the time used or administered to you. LONG TERM CARE SERVICES. means those social services, personal care services and/or Custodial Care Services needed by you when you have lost some capacity for self-care because of a chronic illness, in- jury or condition. MAINTENANCE CARE means those services administered to you to maintain a level of function at which no demonstrable and/or measurable improvement of condition will occur. MAINTENANCE OCCUPATIONAL THERAPY, MAINTENANCE PHYSICAL THERAPY, and/or MAIN- TENANCE SPEECH THERAPY means therapy administered to you to maintain a level of function at which no demonstrable and measurable improvement of a condition will occur. MARRIAGE AND FAMILY THERAPIST (“LMFT”) means a duly licensed marriage and family thera- pist.
