PRIVATE DUTY NURSING CARE Sample Clauses

PRIVATE DUTY NURSING CARE. Fees for a registered nurse (other than a relative of the Insured Person) for private care while convalescing at Your destination, immediately following a covered Emergency Hospi- talization, and when prescribed by the attending Physician and deemed medically neces- sary, up to a maximum of CAN $3,000 per Event and per Insured Person, subject to the Emergency Assistance’s approval.

PRIVATE DUTY NURSING CARE. This Plan will cover the cost of services of a registered graduate nurse, registered nursing assistant, a certified nursing assistant, a certified nursing assistant, or a licensed practical nurse who is duly qualified and who is not related to you or a member of your family and who is not a resident in your home. The services must:  be provided in a Person Insured’s home, and such home is not an institution,  be made on the recommendation of a Physician,  commensurate with the nature and gravity of the Sickness or Injury, and  have prior approval by Empire Life. These services are payable up to the maximum shown on the Schedule of Benefits; however, no payment will be made for homemaking or companion duties. Payment will be made for eligible Diagnostic Laboratory Procedures, ordered by a Physician, and provided by a private medical laboratory. These services are payable up to the maximum shown on the Schedule of Benefits. Eligible procedures are:  Blood Work,  Colonoscopy,  Computerized Axial Tomography (CAT scan),  Electrocardiogram (ECG),  Magnetic Resonance Imaging (MRI),  Positron Emission Tomography (PET),  Mammogram,  Testing of Urine and other bodily fluids and tissues,  Ultrasound. Allergy testing performed by a laboratory is excluded. This Plan will include coverage for various Paramedical Practitioners, provided the services are not completed by a relative. These services are payable up to the maximum shown on the Schedule of Benefits. Payment will be considered an eligible expense only when the maximum under any Government Health Insurance Plan has been reached, unless prohibited by law. This Plan will include coverage for the services of a dentist or oral surgeon to repair or replace sound natural teeth damaged as a result of a direct accidental blow to the mouth and not an object wittingly or unwittingly placed in the mouth, including the setting of a fractured or dislocated jaw; however, no payment will be made for services, supplies or treatment rendered for a full mouth reconstruction, for vertical dimension correction, or for correction of temporomandibular joint dysfunction. Payment will be made provided the services are rendered within 365 days of the accident and while you are insured for this benefit. This Plan will include the cost of the purchase and repairs of (excluding batteries or routine maintenance of) hearing aids. These services are payable up to the maximum shown on the Schedule of Benefits.

PRIVATE DUTY NURSING CARE. This Plan will cover the cost of services of a registered graduate nurse, registered nursing assistant, a certified nursing assistant, or a licensed practical nurse who is duly qualified and who is not related to you or a member of your family and who is not a resident in your home. The services must: • be provided in a Person Insured's home, and such home is not an institution, • be made on the recommendation of a Physician, and • commensurate with the nature and gravity of the Sickness or Injury. These services are payable up to the maximum shown on the Schedule of Benefits; however, no payment will be made for homemaking or companion duties. This Plan will include coverage for hospital outpatient services which are not covered by the Government Health Insurance Plan and which are xxxxxxxx.xx your province of residence. Payment will be made up to a maximum of $500 per Person Insured per Benefit Period for eligible Diagnostic Laboratory Procedures, ordered by a Physician, and provided by a private medical laboratory clinic. Eligible procedures are: • Blood Work, • Colonoscopy, • Computerized Axial Tomography (CAT scan), • Electrocardiogram (ECG), • Magnetic Resonance Imaging (MRI), • Mammogram, • Testing of Urine and other bodily fluids and tissues, • Ultrasound. Diagnostic investigations available in a Hospital and allergy testing performed by a laboratory are excluded. Payment for Diagnostic Laboratory Procedures will be considered an Eligible Expense only when the procedure is not eligible under the provincial Government Health Insurance Plan.