HOME NURSING CARE Sample Clauses
HOME NURSING CARE. We shall reimburse the Reasonable and Customary Charges, up to the maximum number of days and amount stated in the Schedule of Benefits, for Medically Necessary continued nursing care by a registered nurse to You in a home. Such nursing care must be recommended by the attending Physician or Surgeon and be for a minimum duration of four (4) hours each day. This benefit is only payable if there has been an earlier claim paid for in respect of the medical condition for which Hospitalisation was required by You. Home Nursing Care cover under this Policy includes:
(i) Physical, occupational or speech therapies;
(ii) Therapy, treatments for wound, respiratory, diabetes care, colostomy care, tube feeding, injection and other medication administration to Custodial care, meals, general house-keeping services, companions and personal comfort item, or any services for activities of daily living that are not Medically Necessary will not be payable. The benefit payable shall not exceed the maximum number of days and amount for the plan as stated in the Schedule of Benefits.
HOME NURSING CARE. We will reimburse the Person(s) Insured the actual charges incurred per day up to the limit stated in the Schedule of Benefits for any nursing care services by a registered nurse in the event of the Person(s) Insured total paralysis and confinement to a hospital bed as a result of an Accident, provided that:
1) the Person(s) Insured is under the direct care of a Medical Practitioner;
2) The plan of treatment for the home nursing care is established and certified by the attending Medical Practitioner;
3) the Person(s) Insured has been hospitalised for at least 3 days; and
4) The nursing care service is engaged within 7 days from the date of the Person(s) Insured’s discharge from the hospital. No payment will be made for the Person(s) Insured’s nursing care meal, general housekeeping services, companionship or personal comfort items.