Common use of TREATMENT AT URGENT CARE FACIL Clause in Contracts

TREATMENT AT URGENT CARE FACIL. ITIES OR WALK-IN CLINICS: Treatment at urgent care facilities or walk-in clinics in the United States of America are cov- ered at a hundred percent (100%) with a fifty-dollar (US$50) co-payment. These treatments are not subject to deductible. 4.1 PREGNANCY, MATERNITY, AND BIRTH (Except Plans 4, 5 and 6): (a) There is a maximum benefit of seven thousand five hundred dollars (US$7,500) for each covered preg- xxxxx, with no deductible, for the respective insured female. (b) Pre- and post-natal treatment, required vitamins during pregnancy, childbirth, cesarean deliveries, and well baby care are included in the maximum mater- nity benefit listed in this policy. (c) This benefit applies for covered preg- nancies. Covered pregnancies are those for which the estimate date of delivery is at least ten (10) calendar months after the effective date of coverage for the respective insured female. (d) In addition to the above, the following conditions regarding pregnancy, maternity, and birth apply to eligible dependent sons or daughters and their children. On the anniversary date after the insured dependent son or daughter turns eighteen (18) years old, he or she must obtain coverage for himself or herself and his or her child under his or her own individual policy if he or she wants to maintain coverage for his or her child. He or she must submit written notification, which will be approved without under- writing for a product with the same or lower pregnancy, maternity, and birth benefits, with the same or higher deductible, and with the same condi- tions and restrictions in effect under the prior policy. (e) To be eligible for pregnancy, mater- nity, and birth coverage, an insured dependent daughter age eighteen (18) or older must submit written notifica- tion. The notification must be received before the actual date of delivery, and will be approved without underwriting for a product with the same or lower pregnancy, maternity, and birth bene- fits, with the same or higher deduct- ible, and with the same conditions and restrictions in effect under the prior policy. If there is no gap in coverage, the ten (10) calendar month waiting period for the daughter’s policy will be reduced by the time she was covered under her parent’s policy. (f) Complications of maternity are not covered under this benefit, as they are limited to the maximum benefits described in 4.3.

TREATMENT AT URGENT CARE FACIL. ITIES OR WALK-IN CLINICS: Treatment at urgent care facilities or walk-in clinics in the United States of America are cov- ered at a hundred percent (100%) with a fifty-dollar (US$50) co-payment. These treatments are not subject to deductible. 4.1 PREGNANCY, MATERNITY, AND BIRTH (Except Plans 4, 5 and 6): (a) There is a maximum benefit of seven ten thousand five hundred dollars (US$7,50010,000) for each covered preg- xxxxxpregnancy, with no deductible, for the respective insured female. (b) Pre- and post-natal treatment, required vitamins during pregnancy, childbirth, childbirth and cesarean deliveries, and well baby care deliveries are included in the maximum mater- nity maternity benefit listed in this policy. (c) This benefit applies for covered preg- nancies. Covered pregnancies are those for which the estimate date of delivery is at least ten (10) calendar months after the effective date of coverage for the respective insured female. (d) In addition to the above, the following conditions regarding pregnancy, maternity, and birth apply to eligible dependent sons or daughters and their children. On the anniversary date after the insured dependent son or daughter turns eighteen (18) years old, he or she must obtain coverage for himself or herself and his or her child under his or her own individual policy if he or she wants to maintain coverage for his or her child. He or she must submit written notification, which will be approved without under- writing underwriting for a product with the same or lower pregnancy, maternity, and birth benefits, with the same or higher deductible, and with the same condi- tions conditions and restrictions in effect under the prior policy. (e) To be eligible for pregnancy, mater- nity, and birth coverage, an insured dependent daughter age eighteen (18) or older must submit written notifica- tion. The notification must be received before the actual date of delivery, and will be approved without underwriting for a product with the same or lower pregnancy, maternity, and birth bene- fits, with the same or higher deduct- ible, and with the same conditions and restrictions in effect under the prior policy. If there is no gap in coverage, the ten (10) calendar month waiting period for the daughter’s policy will be reduced by the time she was covered under her parent’s policy. (f) Complications of maternity are not covered under this benefit, as they are limited to the maximum benefits described in 4.3.eighteen