Private Room definition
Examples of Private Room in a sentence
Private room charges are limited to Average Semi- Private Room Rate unless private room is ordered by the attending Physician and found Medically Necessary.
If the Policy Certificate states ‘Single Private Room’ as eligible Room Category, it means the maximum eligible Room Category in case of Hospitalization of the Insured Person payable by the Company is limited to stay in a Single Private Room.
Inpatient Hospital Room and Board 80% of NNF after 70% of MAA after deductible (Subject to Care Coordination) deductible satisfied • Semi Private Room satisfied • Semi Private Room Inpatient Services and Supplies 80% of NNF after deductible satisfied 70% of MAA after deductible satisfied Outpatient $20 per office visit.
In case such documented proof is not furnished, then the maximum eligible Room Category would be considered as Single Private Room only.
If specifically mentioned in the Policy Certificate that the Room Category/ Room Rent eligibility is “Single Private Room (upgradable to next level)”, it means such up-gradation will trigger only if Single Private Room is not available in the Hospital at the time of admission and Company’s liability will arise only after accepting required documented proof for such Room unavailability.