NEWBORN COVERAGE. (a) Provisional coverage: If born from a covered pregnancy, each newborn will automatically be covered for complications at birth and for any injury or illness during the first ninety (90) days after birth, up to a maximum of thirty thousand dollars (US$30,000) with no deductible. If not born from a covered pregnancy, there is no provisional coverage for the newborn.
(b) Permanent coverage:
i. Automatic addition: For the purpose of adding a newborn child to the parent’s policy without underwriting, the parent’s policy must have been in effect for at least ten (10) consecutive calendar months. To be added, a copy of the birth certificate including the newborn’s full name, gender, and date of birth must be submitted within ninety (90) calendar days of birth. If the birth certificate is not received within ninety (90) calendar days of birth, an Individual Health Insurance Application is required for the addition and will be subject to underwriting. The premium for the addition is due at the time of the notification of birth. Coverage with applicable deductible will then be effective as of the date of birth up to the policy limits.
ii. Non-automatic addition: The addition of children born before the parent’s policy has been in effect for at least ten (10) consecutive calendar months is subject to underwriting. To be added to their parent’s policy, a completed Individual Health Insurance Application, birth certificate, and premium payment are required. The addition of adopted children, children born as a result of a fertility treat- ment, and children born by a surrogate mother are subject to underwriting. An Individual Health Insurance Application and a copy of the birth certificate must be submitted, which will be subject to the standard underwriting procedures.
(c) Well baby care is only covered as stated in 4.1 (b).
NEWBORN COVERAGE. Coverage includes:
1. Professional services during a covered hospitalization rendered to the newborn;
2. Collection of adequate samples for hereditary and metabolic newborn screening and follow-up;
3. Newborn audiology screening prior to discharge and one confirming screening.
NEWBORN COVERAGE. (a) Provisional coverage: If born from a covered pregnancy, each newborn will automatically be covered for complications at birth and for any injury or illness during the first ninety (90) days after birth, up to a maximum of fifty thousand dollars (US$50,000) with no deductible. If not born from a covered pregnancy, there is no provisional coverage for the newborn.
(b) Permanent coverage:
i. Automatic addition: For the purpose of adding a newborn child to the parent’s policy without underwriting, the parent’s policy must have been in effect for at least ten (10) consecutive calendar months. To be added, a copy of the birth certificate including the newborn’s full name, gender, and date of birth must be submitted within ninety (90) calendar days of birth. If the birth certificate is not received within ninety (90) calendar days of birth, a Changes and Additions Application is required for the addition and will be subject to underwriting. The premium for the addition is due at the time of the notification of birth. Coverage with applicable deductible will then be effective as of the date of birth up to the policy limits.
ii. Non-automatic addition: The addi- tion of children born before the parent’s policy has been in effect for at least ten (10) consecutive calendar months is subject to underwriting. To be added to their parent’s policy, a completed Changes and Additions Appli- cation, birth certificate, and premium payment are required. The addition of adopted chil- dren, children born as a result of a fertility treatment, and chil- dren born by a surrogate mother are subject to underwriting. A Changes and Additions Applica- tion and a copy of the birth certif- icate must be submitted in these cases, which will be subject to the standard underwriting procedures. (c) Well baby care is limited to a maximum benefit of five (5) visits within six (6) months of the child’s delivery.
NEWBORN COVERAGE. (a) If born from a Covered Pregnancy:
i. Provisional coverage: If born from a covered pregnancy, each newborn will automatically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five thousand dollars ($25,000) with no deductible or coinsur- ance.
ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effective as of the date of birth, coverage with appli- cable deductible and coinsurance will then be up to the policy limits. Policy limits for complications of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i. The premium for the addition is due at the time of the notification of birth. If such notification is not received within 90 days of birth, then an application for insurance is required on the addition and will be subject to underwriting.
iii. Well baby care: Only covered as stated in the “Maternity Care” provi- sion of this policy.
(b) If NOT born from a Covered Pregnancy, there is no provisional coverage for the newborn. To add a newborn to the policy, payment of the premium and submission of a completed application for insurance which is subject to underwriting by the Insurer, are required.
NEWBORN COVERAGE. (a) If born from a Covered Pregnancy:
i. Provisional coverage: If born from a covered pregnancy, each newborn will automatically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five thousand dollars ($25,000) with no deductible or coinsur- ance.
ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effective as of the date of birth, coverage with appli- cable deductible and coinsurance will then be up to the policy limits. Policy limits for complications of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i.
NEWBORN COVERAGE. I. If born from a Covered Pregnancy:
(a) Provisional coverage: If born from a covered pregnancy, each newborn will automatically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five thousand dollars ($25,000) with no deductible or coinsurance.
NEWBORN COVERAGE. (a) If born from a Covered Preg- xxxxx:
i. Provisional coverage: If born from a covered preg- xxxxx, each newborn will automatically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five thousand dollars ($25,000) with no deductible or coinsurance.
ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effec- tive as of the date of birth, coverage with applicable deductible and coinsurance will then be up to the policy limits. Policy limits for compli- cations of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i.
NEWBORN COVERAGE. (a) If born from a Covered Pregnancy:
i. Provisional coverage: If born from a covered pregnancy, each newborn will automatically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of ten thousand dollars ($10,000) with no deductible or coinsurance.
ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effective as of the date of birth, coverage with appli- cable deductible and coinsurance will then be up to the policy limits. Policy limits for complications of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i.
NEWBORN COVERAGE. (a) If born from a Covered Preg- xxxxx:
i. Provisional coverage: If born from a covered preg- xxxxx, each newborn will automatically be covered for complications of birth, and any injury or illness for the first ninety (90) days after birth up to a maximum of twenty-five thousand dollars ($25,000) with no deductible or coinsurance.
ii. Permanent coverage: For permanent coverage of a child born from a covered pregnancy, a “Notification of Birth” consisting of the newborn’s full name, gender and date of birth must be submitted within ninety (90) days of birth. Effec- tive as of the date of birth, coverage with applicable deductible and coinsurance will then be up to the policy limits. Policy limits for complica- tions of birth relating to a newborn are limited to the maximum benefits described in provision 8 (a) i. The premium for the addi- tion is due at the time of the notification of birth. If such notification is not received within 90 days of birth, then an application for insurance is required on the addition and will be subject to under- writing.
iii. Well baby Care: Only covered as stated in the “Maternity Care” provision of this policy.
(b) If NOT born from a Covered Pregnancy, there is no provi- sional coverage for the newborn. To add a newborn to the policy, payment of the premium and submission of a completed application for insurance which is subject to underwriting by the Insurer, are required.
NEWBORN COVERAGE. Newborn children are covered from birth for the first thirty-one (31) days of life. Such coverage shall include any Medically Necessary hospital and physician services required by a newborn child of a Member for the treatment of medically diagnosed congenital defects and birth abnormalities (as also set forth in Section 3.25.1 of this Certificate); prematurity and routine nursery care. Coverage beyond the first thirty-one (31) days will only be provided in accordance with the provisions of Section 6.2.3 or 8.9 of this Certificate (if applicable).
