Common use of TRANSPLANT PROCEDURES Clause in Contracts

TRANSPLANT PROCEDURES. The maxi- mum amount payable for the transplanta- tion of human organs, cells, and tissue ben- efit is seven hundred fifty thousand dollars (US$750,000) per insured, per diagnosis, per lifetime after the applicable deductible. This transplant benefit begins once the need for transplantation has been deter- mined by a physician, has been certified by a second surgical or medical opinion, and has been approved by USA Medical Services, and is subject to all the terms, provisions, and exclusions of the policy. POLICY CONDITIONS | 9 This benefit includes: (a) Pre-transplant care, including those services directly related to evaluation of the need for transplantation, eval- uation of the insured for the trans- plant procedure, and preparation and stabilization of the insured for the transplant procedure. (b) Pre-surgical workup, including all laboratory and X-ray exams, CT scans, Magnetic Resonance Imaging (MRI’s), ultrasounds, biopsies, scans, medica- tions and supplies. (c) The costs of organ, cell or tissue procurement, transportation, and harvesting including bone marrow, stem cell or cord blood storage or banking are covered up to a maximum of twenty-five thousand dollars (US$25,000) per diagnosis, which is included as part of the maximum transplant benefit. The donor workup, including testing of potential donors for a match is included in this benefit. (d) The hospitalization, surgeries, physi- cian and surgeon’s fees, anesthesia, medication, and any other treatment necessary during the transplant procedure. (e) Post-transplant care including, but not limited to any medically neces- sary follow-up treatment resulting from the transplant and any compli- cations that arise after the transplant procedure, whether a direct or indi- rect consequence of the transplant. (f) Medication or therapeutic measures used to ensure the viability and permanence of the transplanted organ, cell or tissue. (g) Home health care, nursing care (e.g. wound care, infusion, assessment, etc.), emergency transportation, medical attention, clinic or office visits, transfusions, supplies, or medi- cation related to the transplant.

TRANSPLANT PROCEDURES. The maxi- mum amount payable for the transplanta- tion transplan- tation of human organs, cells, and tissue ben- efit benefit is seven six hundred fifty thousand dollars (US$750,000600,000) per insured, per diagnosis, per lifetime after the applicable deductible. This transplant benefit begins once the need for transplantation has been deter- mined by a physician, has been certified by a second surgical or medical opinion, and has been approved by USA Medical Services, and is subject to all the terms, provisions, and exclusions of the policy. POLICY CONDITIONS | 9 This benefit includes: (a) Pre-transplant care, including those services directly related to evaluation of the need for transplantation, eval- uation evalu- ation of the insured for the transplant procedure, and preparation and stabi- lization of the insured for the trans- plant procedure, and preparation and stabilization of the insured for the transplant procedure. (b) Pre-surgical workup, including all laboratory and X-ray exams, CT scans, Magnetic Resonance Imaging (MRI’s), ultrasounds, biopsies, scans, medica- tions and supplies. (c) The costs of organ, cell or tissue procurement, transportation, and harvesting including bone marrow, stem cell or cord blood storage or banking are covered up to a maximum of twenty-five thousand dollars (US$25,000) per diagnosis, which is included as part of the maximum transplant benefit. The donor workup, including testing of potential donors for a match is included in this benefit. (d) The hospitalization, surgeries, physi- cian and surgeon’s fees, anesthesia, medication, and any other treatment necessary during the transplant procedure. (e) Post-transplant care including, but not limited to any medically neces- sary necessary follow-up treatment resulting from the transplant and any compli- cations complications that arise after the transplant procedure, whether a direct or indi- rect consequence indirect conse- quence of the transplant. (f) Medication or therapeutic measures used to ensure the viability and permanence of the transplanted organ, cell or tissue. (g) Home health care, nursing care (e.g. wound care, infusion, assessment, etc.), emergency transportation, medical attention, clinic or office visits, transfusions, supplies, or medi- cation medication related to the transplant.

TRANSPLANT PROCEDURES. The maxi- mum amount payable for the transplanta- tion of human organs, cells, and tissue ben- efit is seven hundred fifty thousand dollars (US$750,000) per insured, per diagnosis, per lifetime after the applicable deductible. This transplant benefit begins once the need for transplantation has been deter- mined by a physician, has been certified by a second surgical or medical opinion, and has been approved by USA Medical Services, and is subject to all the terms, provisions, and exclusions of the policy. POLICY CONDITIONS | 9 This benefit includes: (a) Pre-transplant care, including those services directly related to evaluation of the need for transplantation, eval- uation of the insured for the trans- plant procedure, and preparation and stabilization of the insured for the transplant procedure. (b) Pre-surgical workup, including all laboratory and X-ray exams, CT scans, Magnetic Resonance Imaging (MRI’s), ultrasounds, biopsies, scans, medica- tions and supplies. (c) The costs of organ, cell or tissue procurement, transportation, and harvesting including bone marrow, stem cell or cord blood storage or banking are covered up to a maximum of twenty-five thousand dollars (US$25,000) per diagnosis, which is included as part of the maximum transplant benefit. The donor workup, including testing of potential donors for a match is included in this benefit. (d) The hospitalization, surgeries, physi- cian and surgeon’s fees, anesthesia, medication, and any other treatment necessary during the transplant procedure. (e) Post-transplant care including, but not limited to any medically neces- sary follow-up treatment resulting from the transplant and any compli- cations that arise after the transplant procedure, whether a direct or indi- rect consequence of the transplant. (f) Medication or therapeutic measures used to ensure the viability and permanence of the transplanted organ, cell or tissue. (g) Home health care, nursing care (e.g. wound care, infusion, assessment, etc.), emergency transportation, medical attention, clinic or office visits, transfusions, supplies, or medi- cation related to the transplant.

TRANSPLANT PROCEDURES. The maxi- mum maximum amount payable for the transplanta- tion of human organs, cells, and tissue ben- efit benefit is seven one million five hundred fifty thousand dollars (US$750,0001,500,000) per insured, per diagnosis, per lifetime after the applicable deductible. Bone marrow transplants derived from a cancer diagnosis will be covered under the cancer benefit, as indicated in the Table of Benefits. This transplant benefit begins once the need for transplantation has been deter- mined determined by a physician, has been certified by a second surgical or medical opinion, and has been approved by USA Medical Services, and is subject to all the terms, provisions, and exclusions of the policy. POLICY CONDITIONS | 9 This benefit includes:. (a) Pre-transplant care, including those services directly related to evaluation of the need for transplantation, eval- uation evaluation of the insured for the trans- plant transplant procedure, and preparation and stabilization of the insured for the transplant procedure. (b) Pre-surgical workup, including all laboratory and X-ray exams, CT scans, Magnetic Resonance Imaging (MRI’s), ultrasounds, biopsies, scans, medica- tions medications and supplies. (c) The costs of organ, cell or tissue procurement, transportation, and harvesting including bone marrow, marrow and stem cell or cord blood storage or banking are covered up to a maximum of twenty-five fifty thousand dollars (US$25,00050,000) per diagnosis, which is included as part of the maximum transplant benefit. The donor workup, including testing of potential donors for a match is included in this benefit. (d) The hospitalization, surgeries, physi- cian physician and surgeon’s fees, anesthesia, medication, and any other treatment necessary during the transplant procedure. (e) Post-transplant care including, but not limited to any medically neces- sary necessary follow-up treatment resulting from the transplant and any compli- cations complications that arise after the transplant procedure, whether a direct or indi- rect indirect consequence of the transplant. (f) Medication or therapeutic measures used to ensure the viability and permanence of the transplanted organ, cell or tissue. (g) Home health care, nursing care (e.g. wound care, infusion, assessment, etc.), emergency transportation, medical attention, clinic or office visits, transfusions, supplies, or medi- cation medication related to the transplant.