Common use of Newborn Care Clause in Contracts

Newborn Care. The newborn child of a Member shall be entitled to benefits provided by this plan from the date of birth up to a maximum of thirty-one (31) days. Such coverage within the thirty-one (31) days shall include care which is necessary for the treatment of medically diagnosed congenital defects, birth abnormalities, prematurity and routine nursery care. Coverage for a newborn may be continued beyond thirty-one (31) days under conditions specified in the Section EL - Eligibility, Change and Termination Rules Under the Plan of this Agreement. If a Deductible applies to the Member’s coverage, only one facility provider Deductible will be applied when the mother and newborn are discharged from the Hospital; however, Deductibles for other Professional Providers may also apply. If the newborn remains in the Hospital after the mother is discharged or if the newborn is transferred to another Hospital, another individual Deductible will not need to be met before eligible claims are paid for the newborn.

Newborn Care. The newborn child of a Member shall be entitled to benefits provided by this plan from the date of birth up to a maximum of thirty-one (31) days. Such coverage within the thirty-one (31) days shall include care which is necessary for the treatment of medically diagnosed congenital defects, birth abnormalities, prematurity and routine nursery care. Coverage for a newborn may be continued beyond thirty-one (31) days under conditions specified in the Section EL - Eligibility, Change and Termination Rules Under the Plan of this Agreement. If a Deductible applies to the Member’s coverage, only one facility provider Deductible will be applied when the mother and newborn are discharged from the Hospital; however, Deductibles for other Professional Providers may also apply. If the newborn remains in the Hospital after the mother is discharged or if the newborn is transferred to another Hospital, another individual Deductible will not need to be met before eligible claims are paid for the newborn.