Common use of Child Health Supervision Services Clause in Contracts

Child Health Supervision Services. The following covered service is provided for an eligible child in accordance with the Florida Child Health Assurance Act which includes covered services from the moment of birth to age 16 years. A waiver of the deductible amount applies to all eligible service expenses for Child Health Supervision Services. Child Health Supervision Services means physician-delivered or physician-supervised services that include the services described in the Schedule of Benefits. These services do not include hospital charges. Child Health Supervision Services include periodic visits, which shall include:  History  Physical Examination  Developmental Assessment  Anticipatory Guidance  Appropriate Immunizations  Laboratory Testing These services and periodic visits will be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics. Eligible service expenses for child health supervision services are limited to one visit payable to one provider for all the services provided at each visit. Newborns’ and Mothers’ Health Protection Act Statement of Rights If services provided or expenses incurred for hospital confinement in connection with childbirth are otherwise included as covered Service expenses, we will not limit the number of days for these expenses to less than that stated in this provision. Maternity care Coverage for outpatient and inpatient pre- and post-partum care including exams, prenatal diagnosis of genetic disorder, laboratory and radiology diagnostic testing, health education, nutritional counseling, risk assessment, childbirth classes, services of nurse-midwives and midwives licensed according to Florida law, and the services of birth centers licensed according to Florida law, if such services are available within the service area, and hospital stays for delivery or other medically necessary reasons (less any applicable copayments, deductible amounts, or cost sharing percentage). Other maternity benefits include complications of pregnancy, parent education, assistance, and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests. Coverage will only be provided for maternity services and/or care of the newborn child when such services have been authorized by your participating health care provider. Under federal law, health insurance issuers generally may not restrict benefits otherwise provided for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery or less than 96 hours following a delivery by cesarean section. However, we may provide benefits for covered service expenses incurred for a shorter stay if the attending provider (e.g., your physician, nurse midwife or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. The level of benefits and out-of-pocket costs for any later part of the 48-hour (or 96-hour) stay will not be less favorable to the mother or newborn than any earlier part of the stay. We do not require that a physician or other health care provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours).

Child Health Supervision Services. The following covered service is provided for an eligible child in accordance with the Florida Child Health Assurance Act which includes covered services from the moment of birth to age 16 years. A waiver of the deductible amount applies to all eligible service expenses for Child Health Supervision Services. Child Health Supervision Services means physician-delivered or physician-supervised services that include the services described in the Schedule of Benefits. These services do not include hospital charges. Child Health Supervision Services include periodic visits, which shall include:  History  Anticipatory Guidance Physical Examination  Appropriate Immunizations Developmental Assessment  Anticipatory Guidance  Appropriate Immunizations  Laboratory Testing These services and periodic visits will be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics. Eligible service expenses for child health supervision services are limited to one visit payable to one provider for all the services provided at each visit. Newborns’ and Mothers’ Health Protection Act Statement of Rights If services provided or expenses incurred for hospital confinement in connection with childbirth are otherwise included as covered Service expenses, we will not limit the number of days for these expenses to less than that stated in this provision. Maternity care Coverage for outpatient and inpatient pre- and post-partum care including exams, prenatal diagnosis of genetic disorder, laboratory and radiology diagnostic testing, health education, nutritional counseling, risk assessment, childbirth classes, services of nurse-midwives and midwives licensed according to Florida law, and the services of birth centers licensed according to Florida law, if such services are available within the service area, and hospital stays for delivery or other medically necessary reasons (less any applicable copayments, deductible amounts, or cost sharing percentage). Other maternity benefits include complications of pregnancy, parent education, assistance, and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests. Coverage will only be provided for maternity services and/or care of the newborn child when such services have been authorized by your participating health care provider. Under federal law, health insurance issuers generally may not restrict benefits otherwise provided for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery or less than 96 hours following a delivery by cesarean section. However, we may provide benefits for covered service expenses incurred for a shorter stay if the attending provider (e.g., your physician, nurse midwife or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. The level of benefits and out-of-pocket costs for any later part of the 48-hour (or 96-hour) stay will not be less favorable to the mother or newborn than any earlier part of the stay. We do not require that a physician or other health care provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours).

Child Health Supervision Services. The following covered service is provided for an eligible child in accordance with the Florida Child Health Assurance Act which includes covered services from the moment of birth to age 16 years. A waiver of the deductible amount applies to all eligible service expenses for Child Health Supervision Services. Child Health Supervision Services means physician-delivered or physician-supervised services that include the services described in the Schedule of Benefits. These services do not include hospital charges. Child Health Supervision Services include periodic visits, which shall include:  History  Anticipatory Guidance  Physical Examination  Developmental Assessment  Anticipatory Guidance  Appropriate Immunizations  Laboratory Testing These services and periodic visits will be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics. Eligible service expenses for child health supervision services are limited to one visit payable to one provider for all the services provided at each visit. Newborns’ and Mothers’ Health Protection Act Statement of Rights If services provided or expenses incurred for hospital confinement in connection with childbirth are otherwise included as covered Service expenses, we will not limit the number of days for these expenses to less than that stated in this the Maternity Care provision. Maternity care Coverage for outpatient and inpatient pre- and post-partum care including exams, prenatal diagnosis of genetic disorder, laboratory and radiology diagnostic testing, health education, nutritional counseling, risk assessment, childbirth classes, services of nurse-midwives and midwives licensed according to Florida law, and the services of birth centers licensed according to Florida law, if such services are available within the service area, and hospital stays for delivery or other medically necessary reasons (less any applicable copayments, deductible amounts, or cost sharing percentage). Other maternity benefits include complications of pregnancy, parent education, assistance, and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests. Coverage will only be provided for maternity services and/or or care of the newborn child when such services have been authorized by your participating health care provider. Under federal law, health insurance issuers generally may not restrict benefits otherwise provided for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery or less than 96 hours following a delivery by cesarean section. However, we may provide benefits for covered service expenses incurred for a shorter stay if the attending provider (e.g., your physician, nurse midwife or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. The level of benefits and out-of-pocket costs for any later part of the 48-hour (or 96-hour) stay will not be less favorable to the mother or newborn than any earlier part of the stay. We do not require that a physician or other health care provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours).

Child Health Supervision Services. The following covered service is provided for an eligible child in accordance with the Florida Child Health Assurance Act which includes covered services from the moment of birth to age 16 years. A waiver of the deductible amount applies to all eligible service expenses for Child Health Supervision Services. Child Health Supervision Services means physician-delivered or physician-supervised services that include the services described in the Schedule of Benefits. These services do not include hospital charges. Child Health Supervision Services include periodic visits, which shall include:  History  Physical Examination  Developmental Assessment  Anticipatory Guidance  Appropriate Immunizations  Laboratory Testing These services and periodic visits will be provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics. Eligible service expenses for child health supervision services are limited to one visit payable to one provider for all the services provided at each visit. Newborns’ and Mothers’ Health Protection Act Statement of Rights If services provided or expenses incurred for hospital confinement in connection with childbirth are otherwise included as covered Service expenses, we will not limit the number of days for these expenses to less than that stated in this the Maternity Care provision. Maternity care Coverage for outpatient and inpatient pre- and post-partum care including exams, prenatal diagnosis of genetic disorder, laboratory and radiology diagnostic testing, health education, nutritional counseling, risk assessment, childbirth classes, services of nurse-midwives and midwives licensed according to Florida law, and the services of birth centers licensed according to Florida law, if such services are available within the service area, and hospital stays for delivery or other medically necessary reasons (less any applicable copayments, deductible amounts, or cost sharing percentage). Other maternity benefits include complications of pregnancy, parent education, assistance, and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests. Coverage will only be provided for maternity services and/or care of the newborn child when such services have been authorized by your participating health care provider. Under federal law, health insurance issuers generally may not restrict benefits otherwise provided for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery or less than 96 hours following a delivery by cesarean section. However, we may provide benefits for covered service expenses incurred for a shorter stay if the attending provider (e.g., your physician, nurse midwife or physician assistant), after consultation with the mother, discharges the mother or newborn earlier. The level of benefits and out-of-pocket costs for any later part of the 48-hour (or 96-hour) stay will not be less favorable to the mother or newborn than any earlier part of the stay. We do not require that a physician or other health care provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours).