Surgery Services. If you are admitted to a general hospital as an inpatient for a medical condition, we cover the services of a doctor in charge of your medical care, up to one (1) visit per day. If you are admitted for surgical, obstetrical, or radiation services, our allowance to the doctors who performed your surgery, delivered your child, or supervised your radiation includes payment for all your related hospital visits by these doctors during your admission. If, while you are in the hospital, the attending doctor in charge of your care asks for the assistance of a doctor who has special skills and knowledge to diagnose your condition, we cover a consultation performed by a specialist. The transferring of a patient from one doctor to another is not considered to be a consultation. A specialized doctor who then treats you as his or her patient is not considered to be a consultant If you need inpatient specialty care for a condition that requires skills the doctor in charge of your care does not have, we will cover specialist visits as medically necessary.
Appears in 36 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
