Hospital Benefits. This section of your Certificate explains what your benefits are when you re ceive care in a Hospital or other eligible health care facility. Benefits are only available for services rendered by a Hospital unless another Provider is specifi cally mentioned in the description of the service. Remember, to receive benefits for Covered Services, (except for Mental Illness other than Serious Mental Illness), they must be ordered or approved by your Primary Care Physician or Woman's Principal Health Care Provider. Whenever we use “you” or “your” in describing your benefits, we mean all xxx gible family members who are covered under Family Coverage.
Hospital Benefits. Coverage is provided for the hospital's additional charge for a semi-private room in any Manitoba hospital (the Government plan covers standard xxxx charges) and payment for additional semi-private charges by hospitals outside Manitoba at the rate in effect at that time in the Province of Manitoba. If a subscriber requires diagnostic testing or treatment, on the recommendation of a medical practitioner, at a Manitoba hospital located more than 60 kilometres from the subscriber's home, and if the subscriber is placed in a recognized medical hostel associated with the hospital, Blue Cross will pay the reasonable and customary per diem charge for such hostel accommodation. In addition, the Extended Health Benefits Plan shall pay for 80% of eligible health care services listed below subject to the terms and conditions of the contract. Note: Annual maximums are effective for each calendar year. Eligible Health Care Service Description of coverage Max per person per year (unless noted otherwise) Accidental Dental Treatment Required as a result of accidental injury where natural teeth have been damaged or broken or a dislocated jaw requires setting. Treatment must start within 90 days of the accident. Athletic Therapy Services rendered by a Certified Athletic Therapist. $100 Breast Prosthesis and Surgical Bras Upon the written prescription of a physician. $350 Cardiac Rehabilitation For cardiac patients when prescribed by the attending physician after myocardial infarction, coronary bypass surgery, or valve replacement or for the management of angina pectoris or other diagnosed cardiac disease. $350 Chiropractic Services rendered by a Chiropractor. $350 Clinical Psychology Charges of a registered Clinical Psychologist. $350 Hearing Aids Purchase or repair when prescribed by an Otologist or Audiologist. (charges for regular maintenance, batteries or recharging devices are not eligible) $1,000 during any 5 consecutive year period Massage Therapy Services rendered by a licensed Massage Therapist. $350 Nutrition Counseling Services provided by a registered dietician when you are referred by a physician. $350 Orthotics When prescribed by a physician, physiotherapist, or podiatrist. $350 Physiotherapy Diagnosis and treatment by licensed Physiotherapist. (excludes diagnostic x-rays and examinations) $350 Podiatry Diagnosis and treatment by licensed Podiatrist. (excludes diagnostic x-rays and examinations) $350 Private Duty Nursing Services provided in a hospital by a pr...
Hospital Benefits. Any self-insured or otherwise unregulated health plan will offer at least the following hospital benefits:
Hospital Benefits. 1. Care In a Hospital You are covered for medically necessary care as an inpatient in a Hospital if all the following conditions are met:
Hospital Benefits. Covered service expenses are limited to charges made by a hospital for:
Hospital Benefits. To receive Benefits, You must obtain Authorization for certain services if shown in the Schedule of Benefits and the Care Management Article. You must pay any Deductible Amount, Copayment, and any Coinsurance percentages shown in the Schedule of Benefits. If a Member receives services from a Physician in a Hospital-based clinic, the Member may be subject to charges from the Physician and/or clinic as well as the facility. The following services furnished to You by a Hospital are covered:
Hospital Benefits. (a) Effective April 1, 1961 room and board maximum will be twenty dollars ($ 20 .00 ) per day for a maximum of one hundred twenty (120) days.
Hospital Benefits i. Hospital Care - payment of differential charges of $8.00 per day for semi-private and $16.00 per day for private beds in public general active treatment hospitals.
Hospital Benefits. The plan will pay 100% of the following charges:
Hospital Benefits. The plan provides for reimbursement for one hundred per cent (100%) of the cost for a semi-private room.
