Pregnancy Benefits. Benefits are provided for maternity services, which include prenatal care, prenatal diagnosis of genetic disorders of the fetus by means of diagnostic procedures in case of high-risk pregnancy, outpatient maternity services, involuntary compli- cations of pregnancy, abortion services, and inpatient hospital maternity care including labor, delivery and post-delivery care. Involuntary complications of pregnancy include puer- peral infection, eclampsia, cesarean section delivery, ectopic pregnancy, and toxemia. (Note: See the section on Outpa- tient X-Ray, Pathology, and Laboratory Benefits for infor- mation on coverage of other genetic testing and diagnostic procedures.) No benefits are provided for Services after ter- mination of coverage under this Plan. Note: The Newborns’ and Mothers’ Health Protection Act requires individual and family health plans to provide a min- imum hospital stay for the mother and newborn child of for- ty-eight (48) hours after a normal, vaginal delivery and nine- ty-six (96) hours after a C-section unless the attending physician, in consultation with the mother, determines a shorter hospital length of stay is adequate. If the hospital stay is less than 48 hours after a normal, vagi- nal delivery or less than 96 hours after a C-section, a follow- up visit for the mother and newborn within 48 hours of dis- charge is covered when prescribed by the treating physician. A licensed Health Care Provider whose scope of practice includes postpartum and newborn care shall provide this vis- it. The treating physician, in consultation with the mother, shall determine whether this visit shall occur at home, the contracted facility, or the physician’s office.
Appears in 4 contracts
Samples: Health Service Agreement, Health Service Agreement, Health Service Agreement
Pregnancy Benefits. Benefits are provided for maternity services, which include prenatal care, prenatal diagnosis of genetic disorders of the fetus by means of diagnostic procedures in case of high-risk pregnancy, outpatient maternity services, involuntary compli- cations of pregnancy, abortion services, and inpatient hospital maternity care including labor, delivery and post-delivery care. Involuntary complications of pregnancy include puer- peral infection, eclampsia, cesarean section delivery, ectopic pregnancy, and toxemia. (Note: See the section on Outpa- tient X-Ray, Pathology, and Laboratory Benefits for infor- mation on coverage of other genetic testing and diagnostic procedures.) No benefits are provided for Services after ter- mination of coverage under this Plan. Note: The Newborns’ ' and Mothers’ ' Health Protection Act requires individual and family health plans to provide a min- imum hospital stay for the mother and newborn child of for- ty-eight (48) hours after a normal, vaginal delivery and nine- ty-six (96) hours after a C-section unless the attending physicianphysi- cian, in consultation with the mother, determines a shorter hospital length of stay is adequate. If the hospital stay is less than 48 hours after a normal, vagi- nal delivery or less than 96 hours after a C-section, a follow- up visit for the mother and newborn within 48 hours of dis- charge is covered when prescribed by the treating physician. A licensed Health Care Provider whose scope of practice includes postpartum and newborn care shall provide this vis- it. The treating physician, in consultation with the mother, shall determine whether this visit shall occur at home, the contracted facility, or the physician’s 's office.
Appears in 2 contracts
Pregnancy Benefits. Benefits are provided for maternity services, which include prenatal care, prenatal diagnosis of genetic disorders of the fetus by means of diagnostic procedures in case of high-risk pregnancy, outpatient maternity services, involuntary compli- cations com- plications of pregnancy, abortion services, and inpatient hospital maternity care including labor, delivery and post-post- delivery care. Involuntary complications of pregnancy include puer- peral in- clude puerperal infection, eclampsia, cesarean section deliverydeliv- ery, ectopic pregnancy, and toxemia. (Note: See the section sec- tion on Outpa- tient Outpatient X-Ray, Pathology, and Laboratory Benefits for infor- mation information on coverage of other genetic testing test- ing and diagnostic procedures.) No benefits are provided for Services after ter- mination termination of coverage under this Plan. Note: The Newborns’ ' and Mothers’ ' Health Protection Act requires individual and family health plans to provide a min- imum minimum hospital stay for the mother and newborn child of for- tyforty-eight (48) hours after a normal, vaginal delivery and nine- tyninety-six (96) hours after a C-section unless the attending physician, in consultation with the mother, determines a shorter hospital length of stay is adequate. If the hospital stay is less than 48 hours after a normal, vagi- nal vag- inal delivery or less than 96 hours after a C-section, a follow- fol- low-up visit for the mother and newborn within 48 hours of dis- charge discharge is covered when prescribed by the treating physicianphysi- cian. A licensed Health Care Provider whose scope of practice prac- xxxx includes postpartum and newborn care shall provide this vis- itvisit. The treating physician, in consultation with the mother, shall determine whether this visit shall occur at home, the contracted facility, or the physician’s 's office.
Appears in 2 contracts
Pregnancy Benefits. Benefits are provided for maternity services, which include prenatal care, prenatal diagnosis of genetic disorders of the fetus by means of diagnostic procedures in case of high-risk pregnancy, outpatient maternity services, involuntary compli- cations of pregnancy, abortion services, and inpatient hospital maternity care including labor, delivery and post-delivery care. Involuntary complications of pregnancy include puer- peral infection, eclampsia, cesarean section delivery, ectopic pregnancy, and toxemia. (Note: See the section on Outpa- tient X-Ray, Pathology, and Laboratory Benefits for infor- mation on coverage of other genetic testing and diagnostic procedures.) No benefits are provided for Services after ter- mination of coverage under this Plan. Note: The Newborns’ ' and Mothers’ ' Health Protection Act requires individual and family health plans to provide a min- imum hospital stay for the mother and newborn child of for- ty-eight (48) hours after a normal, vaginal delivery and nine- ty-six (96) hours after a C-section unless the attending physician, in consultation with the mother, determines a shorter hospital length of stay is adequate. If the hospital stay is less than 48 hours after a normal, vagi- nal delivery or less than 96 hours after a C-section, a follow- up visit for the mother and newborn within 48 hours of dis- charge is covered when prescribed by the treating physician. A licensed Health Care Provider health care provider whose scope of practice includes in- cludes postpartum and newborn care shall provide this vis- itvisit. The treating physician, in consultation with the mother, shall determine whether this visit shall occur at home, the contracted con- tracted facility, or the physician’s 's office. Preventive Care Services are those primary preventive medi- cal Services provided by a Physician for the early detection of disease when no symptoms are present and for those items specifically listed below. The specific benefits listed below for Preventive Care are not subject to the Calendar Year Deductible. No benefits are provided for Preventive Care Services pro- vided from Non-Preferred Providers. Note: Diagnostic audiometry examinations are covered under the Professional (Physician) Benefits.
Appears in 2 contracts
Pregnancy Benefits. Benefits are provided for maternity services, which include prenatal care, prenatal diagnosis of genetic disorders of the fetus by means of diagnostic procedures in case of high-risk pregnancy, outpatient maternity services, involuntary compli- cations of pregnancy, abortion abortions services, and inpatient hospital hospi- tal maternity care including labor, delivery and post-delivery care. Involuntary complications of pregnancy include puer- peral infection, eclampsia, cesarean section delivery, ectopic pregnancy, and toxemia. (Note: See the section on Outpa- tient X-Ray, Pathology, and Laboratory Benefits for infor- mation on coverage of other genetic testing and diagnostic procedures.) No benefits are provided for Services after ter- mination of coverage under this Plan. Note: The Newborns’ ' and Mothers’ ' Health Protection Act requires individual and family health plans to provide a min- imum hospital stay for the mother and newborn child of for- ty-eight (48) hours after a normal, vaginal delivery and nine- ty-six (96) hours after a C-section unless the attending physician, in consultation with the mother, determines a shorter hospital length of stay is adequate. If the hospital stay is less than 48 hours after a normal, vagi- nal delivery or less than 96 hours after a C-section, a follow- up visit for the mother and newborn within 48 hours of dis- charge is covered when prescribed by the treating physician. A licensed Health Care Provider whose scope of practice includes postpartum and newborn care shall provide this vis- it. The treating physician, in consultation with the mother, shall determine whether this visit shall occur at home, the contracted facility, or the physician’s 's office.
Appears in 1 contract
Samples: Health Service Agreement
Pregnancy Benefits. Benefits are provided for maternity services, which include prenatal care, prenatal diagnosis of genetic disorders of the fetus by means of diagnostic procedures in case of high-risk pregnancy, outpatient maternity services, involuntary compli- cations of pregnancy, abortion services, and inpatient hospital maternity care including labor, delivery and post-delivery care. Involuntary complications of pregnancy include puer- peral infection, eclampsia, cesarean section delivery, ectopic pregnancy, and toxemia. toxemia (Note: See the section on Outpa- tient Outpatient X-Ray, Pathology, and Laboratory Benefits for infor- mation information on coverage of other genetic testing and diagnostic proceduresproce- dures.) No benefits are provided for Services after ter- mination termina- tion of coverage under this Plan. Note: The Newborns’ ' and Mothers’ ' Health Protection Act requires individual and family health plans to provide a min- imum hospital stay for the mother and newborn child of for- ty-eight (48) hours after a normal, vaginal delivery and nine- ty-six (96) hours after a C-section unless the attending physician, in consultation with the mother, determines a shorter hospital length of stay is adequate. If the hospital stay is less than 48 hours after a normal, vagi- nal delivery or less than 96 hours after a C-section, a follow- up visit for the mother and newborn within 48 hours of dis- charge is covered when prescribed by the treating physician. A licensed Health Care Provider whose scope of practice includes postpartum and newborn care shall provide this vis- it. The treating physician, in consultation with the mother, shall determine whether this visit shall occur at home, the contracted facility, or the physician’s 's office.
Appears in 1 contract