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. 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; 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. MAPFRE Life will not pay for any charges which:
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Samples: Small Group Health Insurance Policy, Small Group Health Insurance Policy, Bona Fide Small Group Health Insurance Policy
