Maternity Benefit. Investigation into Infertility (Plan A only) We will pay for investigation and treatment of the cause of infertility. This benefit becomes available and eligible claims payable for expenses incurred after the member has been continuously covered under Plan A for at least eighteen (18) months. Pre and post-natal complications Benefit only becomes available and eligible claims payable for expenses incurred after the female member over the age of eighteen (18) years has been continuously covered under their chosen plan for three hundred sixty-five (365) consecutive days and has effected the annual renewal of that plan for the coming policy year. This benefit pays for treatment of an eligible medical condition which is due to and occurs to the female member during the pregnancy prior to or after the childbirth. The list of eligible pre- and post- natal complications include the following: • Antiphospholipid syndrome, • Cervical incompetence, • Ectopic pregnancy, • Gestational diabetes, • Hydatidiform mole – molar pregnancy, • Hyperemesis gravidarum, • Obstetric cholestasis, • Pre-eclampsia / Eclampsia, • Rhesus (RH) factor, • Miscarriage requiring immediate surgical intervention, • Post partum haemorrhage, • Retained placental membrane Under post-natal complications, we will only pay for treatment received within ninety (90) days following the childbirth. This benefit does not cover: the costs of any childbirth whether such childbirth is normal, by caesarean section or by any other assisted means, or any pre- and post-complication arising from elective or non-medically necessary caesarean section birth. treatment of any medical condition which is due to and occurs during the pregnancy prior to prior to or after the childbirth if the pregnancy was a result of any form of assisted means or assisted conception/assisted pregnancy. Whilst we recognize that caesarean section may sometimes be a medical necessity, caesarean section can only be covered under the “Pregnancy and childbirth” benefit for member insured on Plan A. Please note: If we are not able to determine that a caesarean section is medically necessary we will consider it as not medically necessary. Pregnancy and childbirth (Plan A only) Benefit is available and eligible claims are payable for expenses incurred after the member has been continuously covered under Plan A for three hundred sixty-five (365) consecutive days and has effected the annual renewal of that plan for the coming policy year. This be...
Maternity Benefit. We will indemnify the Medical Expenses incurred up to the Maternity Benefit Sum Insured specified in the Policy Schedule for the delivery of the Insured Person’s child (including cesarean section) or the Medically Necessary and lawful medical termination of pregnancy during the Policy Period provided that:
Maternity Benefit. Charges incurred as a result of a normal pregnancy or any complications thereof will be paid on the same basis as any other illness under this Policy. This benefit is available for the Insured, a female spouse or eligible female dependent. Prenatal care will be paid the same as an office visit. Postnatal care for the insured, spouse or eligible female dependent and the eligible newborn child will be covered. In compliance with Act; 248 of August 15, 1999. Post-partum care in a hospital facility will be provided for a mother and a newborn child, subject to the following minimum limits: - Normal delivery - 48 hours - Cesarean delivery - 96 hours For the purposes of Maternity Benefit, an assistant provider is: - a pediatrician or any other physician who provides medical attention to a newborn child; - an obstetrician, gynecologist or nurse who provides medical attention to the mother. Any decision to shorten the minimum hospital stay must be determined by the assistant provider in agreement with the patient. If a mother and newborn child are released from the hospital in less than the minimum hospital stay provided for above, but in agreement with the assistant providers' guidelines, coverage will be provided for a follow-up visit during the next 48 hours following the discharge. NEWBORN CHILD CARE A newborn child is insured from birth for injury, including accidents or illness. The following benefits are considered to be eligible charges for a newborn child and will be paid on the same basis as any other illness under this Policy: - routine nursery charges in the Hospital; - Physician care in the Hospital; - circumcision - auditory brainstem response and otoacoustic emissions testing; PROFESSIONAL MEDICAL SERVICES This benefit covers the services per office visit, with no limits on the number of visits, including consultation. The co-payment is waived for in-Hospital services. Medical care benefits covered by this policy will be paid according to the rates negotiated by MAPFRE Life with participating providers. LIMITATIONS MAPFRE Life will not pay for any charges which:
Maternity Benefit. We will indemnify the Maternity Expenses incurred during the Policy Period provided that:
Maternity Benefit. An employee eligible for maternity leave under the Canada Labour Code and who qualifies for Employment Insurance Benefits shall receive payment as follows: of base salary during the two week waiting period; top-up of benefits to of base salary during the fifteen (15) week maternity leave portion of the leave.
Maternity Benefit. We will cover Medical Expenses incurred in respect of a female Insured Person during the Policy Period between the Age 18 years to 45 years for the delivery of a child in a Hospital (including but not limited to caesarean section, vacuum birthing, water birthing, hypno birthing, midwife birthing) or for medically required and lawful medical termination of pregnancy. Ectopic pregnancy shall not be covered under this Benefit, but any claims will be considered under In- patient Hospitalization under Section 1.1. This Benefit will be available subject to the following:
Maternity Benefit. Investigation into infertility This benefit pays for investigation and treatment of the cause of infertility. No benefit 20% co-insurance
Maternity Benefit. We will pay the Daily Cash Amount, specified in the Policy Schedule/ Certificate of Insurance under the Maternity Benefit for the delivery of the Insured Person's child (including cesarean section) or for the Medically necessary and lawful termination of pregnancy for each and every completed day of the Insured Person's Hospitalisation during this Policy Period subject to the following:
Maternity Benefit. Woman employees are entitled to maternity leave of twenty six (26) consecutive weeks for delivery (birth) of a child, and not more than 8 weeks of such maternity leave shall be availed for, before the date of expected delivery. This leave will be with normal pay. Any maternity leave taken in excess of above limits will be without pay.
Maternity Benefit. New born accommodation This benefit will pay for the child who is less than sixteen (16) weeks old to stay in the hospital with the mother (being an insured member) while she is receiving eligible in-patient treatment at such hospital. This is paid from the mother’s benefit. New born cover New born cover - acute medical condition This benefit pays for the treatment of acute medical condition, provided there is no underlying congenital condition developed in a new born baby including nursing of pre-mature baby (i.e. where birth is prior to thirty-seven (37) weeks gestation) in Neonatal Intensive Care Unit (NICU). The common acute medical conditions for new born babies include neonatal jaundice, colic, diarrhea, constipation, vomiting and ear infection. This benefit is only available if: (a) the parent of the new born baby has been covered under InternationalExclusive for three hundred sixty-five (365) consecutive days or more when the baby is born; and (b) the new born baby is added into the insured parent’s policy within thirty (30) days from birth; and (c) both parent and baby have been continuously covered under the policy and the policy is in force when the treatment is received. This benefit is paid from the insured baby’s plan. This benefit covers treatment received by a new born baby during the first thirty (30) days after birth. After thirty (30) days, treatment can be covered under the main benefits of the insured baby’s plan. This benefit excludes treatment to the child member (who is conceived by assisted conception/assisted pregnancy) for any condition or complication arising therefrom or associated therewith assisted conception/assisted pregnancy (such as but not limited to premature or multiple births), that has arisen, or for which the need had arisen, during the first ninety (90) days after birth. Please see Section 1.5 - ‘Persons eligible’ for details on eligibility.
