TREATMENT AT URGENT CARE FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered 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 pregnancy, with no deductible, for the respective insured female.
(b) Pre- and post-natal treatment (Including noninvasive genetic prenatal screening, detection of free fetal DNA), required vitamins during pregnancy, childbirth, cesarean deliveries, and well baby care are included in the maximum maternity benefit listed in this policy.
(c) This benefit applies for covered pregnancies. 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 underwriting for a product with the same or lower pregnancy, maternity, and birth benefits, with the same or higher deductible, and with the same conditions and restrictions in effect under the prior policy.
(e) To be eligible for pregnancy, maternity, and birth coverage, an insured depen- dent daughter age eighteen (18) or older must submit written notification. 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 benefits, with the same or higher deductible, 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 FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered at a hundred percent (100%) with a fifty-dollar (US$50) co-payment. These treatments are not subject to deductible. EXCLUSIONS AND LIMITATIONS This policy does not provide coverage or benefits for any of the following:
1. Treatment of any illness, injury, or any charges arising from any treatment, service or supply which is:
(a) not medically necessary; or
(b) for an Insured who is not under the care of a physician, doctor or skilled professional; or
(c) not authorized or prescribed by a physician or doctor; or
(d) custodial care.
2. Any care or treatment, while sane or insane, received due to self inflicted illness or injury, suicide, failed suicide, alcohol use or abuse, drug use or abuse, or the use of illegal substances or illegal use of controlled substances. This includes any accident resulting from any of the aforementioned criteria.
3. Routine eye and ear examinations, hearing aids, eye glasses, contact lenses, radial keratotomy and/or other procedures to correct eye refraction disorders.
4. Any medical examination or diagnostic study which is a part of a routine physical examination, including vaccinations and the issuance of medical certificates and examinations as to the suitability for employment or travel.
5. Chiropractic care, homeopathic treatment, acupuncture or any type of alternative medicine.
6. Elective or cosmetic surgery or medical treatment which is primarily for beautification, unless necessitated by injury, deformity or illness which first occurs while the Insured is covered under this policy. This also includes any surgical treatment for nasal or septal deformity that was not induced by trauma, except as provided for in this policy.
7. Any charges in connection with pre-existing conditions, except as defined and addressed in this policy.
8. Any treatment, service or supply that is not scientifically or medically recognized for the prescribed treatment or which is considered experimental and/or not approved for general use by the Food and Drug Administration of the U.S.A.
9. Treatment in any governmental facility or any expense if the Insured would be entitled to free care. Service or treatment for which payment would not have to be made had no insurance coverage existed. BUPA GROUP
10. Diagnostic procedures or treatment of mental illnesses and/or psychiatric, behavioral or developmental disorders, Chronic Fatigue Syndrome, sleep apne...
TREATMENT AT URGENT CARE FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered 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 five thousand dollars (US$5,000) for each covered pregnancy, with no deductible, for the respective insured female.
(b) Pre- and post-natal treatment, including non-invasive genetic prenatal screening (free fetal DNA screening), childbirth, vitamins required during pregnancy, cesarean deliveries, and well baby care are included in the maximum maternity benefit listed in this policy.
(c) This benefit applies for covered pregnancies. Covered pregnancies are those for which the actual 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
TREATMENT AT URGENT CARE FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered at a hundred percent (100%) with a fifty-dollar (US$50) co-payment. These treat- ments are not subject to deductible. EXCLUSIONS AND LIMITATIONS
1. Treatment of any illness, injury, or any charges arising from any treatment, service or supply which is:
(a) not medically necessary; or
(b) for an Insured who is not under the care of a physician, doctor or skilled professional; or
(c) not authorized or prescribed by a physician or doctor; or
(d) custodial care.
2. Any care or treatment, while sane or insane, received due to self inflicted illness or injury, suicide, failed suicide, alcohol use or abuse, drug use or abuse, or the use of illegal substances or illegal use of controlled substances. This includes any accident resulting from any of the aforementioned criteria.
3. Routine eye and ear examinations, hearing aids, eye glasses, contact lenses, radial keratotomy and/or other procedures to correct eye refraction disorders.
4. Any medical examination or diagnos- tic study which is part of a routine physical examination, including vac- cinations and the issuance of medical certificates and examinations as to the suitability for employment or travel.
5. Chiropractic care, homeopathic treat- ment, acupuncture or any type of alternative medicine.
6. Any illness or injury not caused by an accident or a disease of infectious origin which first manifested within the first ninety (90) days from the effective date of the policy.
7. Elective or cosmetic surgery or medical treatment which is primar- ily for beautification, unless neces- sitated by injury, deformity or illness which first occurs while the Insured is covered under this policy. This also includes any surgical treatment for nasal or septal deformity that was not induced by trauma, except as provided for in this policy.
8. Any charges in connection with pre- existing conditions, except as defined and addressed in this policy.
9. Any treatment, service or supply that is not scientifically or medically rec- ognized for the prescribed treatment or which is considered experimental and/or not approved for general use by the Food and Drug Administration of the U.S.A.
10. Treatment in any governmental facil- ity or any expense if the Insured would be entitled to free care. Service or treatment for which payment would not have to be made had no insurance coverage existed.
11. Diagnostic procedures or treatment of me...
TREATMENT AT URGENT CARE FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered at a hundred percent (100%) with a fifty-dollar (US$50) co-payment. These treat- ments are not subject to deductible. BUPA WORLDWIDE This policy does not provide coverage or benefits for any of the following:
1. Treatment of any illness, injury, or any charges arising from any treatment, service or supply which is:
(a) Not medically necessary; or
(b) For an Insured who is not under the care of a physician, doctor or skilled professional; or
(c) Not authorized or prescribed by a physician or doctor; or
(d) Custodial care.
2. Any care or treatment, while sane or insane, received due to self inflicted illness or injury, suicide, failed suicide, alcohol use or abuse, drug use or abuse, or the use of illegal substances or illegal use of controlled substances. This includes any accident resulting from any of the aforementioned criteria.
3. Routine eye and ear examinations, hearing aids, eye glasses, contact lenses, radial keratotomy and/or other procedures to correct eye refraction disorders.
4. The issuance of medical certificates and examinations as to the suitability for employment or travel.
5. Chiropractic care, homeopathic treat- ment, acupuncture or any type of alternative medicine.
6. Any illness or injury not caused by an accident or a disease of infectious origin which first manifested within the first ninety (90) days from the effective date of the policy.
7. Elective or cosmetic surgery or medical treatment which is primar- ily for beautification, unless neces- sitated by injury, deformity or illness which first occurs while the Insured is covered under this policy. This also includes any surgical treatment for nasal or septal deformity that was not induced by trauma, except as provided for in this policy.
8. Any charges in connection with pre- existing conditions, except as defined and addressed in this policy.
9. Any treatment, service or supply that is not scientifically or medically rec- ognized for the prescribed treatment or which is considered experimental and/or not approved for general use by the Food and Drug Administration of the U.S.A.
10. Treatment in any governmental facil- ity or any expense if the Insured would be entitled to free care. Service or treatment for which payment would not have to be made had no insurance coverage existed.
11. Diagnostic procedures or treatment of mental illnesses and/or psychi- atric, behavioral or developme...
TREATMENT AT URGENT CARE FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered 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 five thousand dollars (US$5,000) for each covered pregnancy, with no deductible, for the respective insured female.
(b) Pre- and post-natal treatment, childbirth, vitamins required during pregnancy, cesarean deliveries, and well baby care are included in the maximum maternity benefit listed in this policy.
(c) This benefit applies for covered pregnancies. Covered pregnancies are those for which the actual 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
TREATMENT AT URGENT CARE FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered 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 pregnancy, with no deductible, for the respective insured female.
(b) Pre- and post-natal treatment, vitamins required during pregnancy, childbirth, cesarean deliveries, and well baby care are included in the maximum maternity benefit listed in this policy.
(c) This benefit applies for covered pregnancies. Covered pregnancies are those for which the estimated 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
TREATMENT AT URGENT CARE FACILITIES OR WALK-IN CLINICS. Treatment at urgent care facilities or walk-in clinics in the United States of America are covered 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 ten thousand dollars (US$10,000) for each covered pregnancy, with no deductible, for the respective insured female. (b) Pre- and post-natal treatment (Including noninvasive genetic prenatal screening, detection of free fetal DNA), required vitamins during pregnancy, childbirth and cesarean deliveries are included in the maximum maternity benefit listed in this policy.
