Examples of Hospital Benefits in a sentence
See the Hospital Benefits (Facility Services) section for information on inpatient Benefits.
Please refer to the appropriate subsections below that relate to the services or supplies you receive, such as Inpatient Hospital Benefits, Outpatient Hospital Benefits, etc.
Outpatient Hospital Benefits, Physician Benefits, Other Covered ServicesPrecertification is required for the following outpatient hospital benefits, physician benefits and other covered services.
You will be responsible for any Copayment(s) or Coinsurance, if applicable.Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits sections of this Policy.
Should you be admitted to the Hospital as an Inpatient, benefits will be paid as explained in the Hospital Benefits and Physician Benefits Sections of this Certi ficate.
Inpatient Hospital Benefits Attention: Precertification is required for all hospital admissions except for medical emergency and maternity admissions.
Outpatient Hospital Benefits Attention: Precertification is required for certain outpatient hospital benefits.
For example, Hospital Benefits for Inpatient services will not be substituted for confinement in a Skilled Nursing Facility, even if the maximum payment under the Skilled Nursing and Rehabilitation Care benefit has been reached.
Continuation of Hospital Benefits When Group Contract is Replaced.
Inpatient services for acute detoxification are covered under the medical benefit; see the Hospital Benefits (Facility Services) section of the Evidence of Coverage for benefit details.