Multiple Surgical Procedures Sample Clauses
Multiple Surgical Procedures. If You have more than one procedure at the same surgical setting (at the same time, one after another, or other multiple procedures), We will pay Benefits as follows:
Multiple Surgical Procedures. When Medically Necessary multiple procedures (concurrent, successive, or other multiple surgical procedures) are performed at the same surgical setting, Benefits will be paid as follows:
a. Primary Procedure
(1) The primary or major procedure will be the procedure with the greatest value based on the Allowable Charge.
(2) Benefits for the primary procedure will be based on the Allowable Charge.
b. Secondary Procedure(s) The secondary procedure(s) is a procedure(s) performed in addition to the primary procedure which adds significant time, risk, or complexity to the Surgery. The Allowable Charge for the secondary procedure will be based on a percentage of the Allowable Charge that would be applied had the secondary procedure been the primary procedure.