Common use of What Terms Do We Use in this Plan Clause in Contracts

What Terms Do We Use in this Plan. ‌ Accidental Injury – A condition that directly results from a traumatic bodily injury sustained only through accidental means from an external force. Injuries caused by chewing are not accidental injuries to teeth. Admission – The period for Inpatient care from entry (admission) into a Hospital until discharge. We do not count observation hours that are billed when a Hospital does not formally admit a patient as part of a covered Admission. Appeal – A request from a Member or a Member’s authorized representative to change a decision We made about Benefits.