Combined Limit. The maximum total of In-Network and Out- of- Network Care available for designated health services in the Summary of Benefits and Coverage. or caused by pregnancy. Such conditions include acute nephritis, nephrosis, cardiac decompensation, missed or threatened abortion, preeclampsia, intrauterine fetal growth retardation and similar medical and surgical conditions of comparable severity. An ectopic pregnancy which is terminated is also considered a Complication of Pregnancy. Complications of Pregnancy shall not include false labor, cesarean section, occasional spotting, and Physician prescribed rest during the period of pregnancy, morning sickness, hyperemesis gravidarum and similar conditions associated with the management of a difficult pregnancy which are not diagnosed distinctly as Complications of Pregnancy. A condition or conditions that are present at birth regardless of causation. Such conditions may be hereditary or due to some influence during gestation.
Appears in 1 contract
Sources: Group Health Care Contract
Combined Limit. The maximum total of In-Network and Out- of- Out-of-Network Care available for designated health services in the Summary of Benefits and Coverage. or caused by pregnancy. Such conditions include acute nephritis, nephrosis, cardiac decompensation, missed or threatened abortion, preeclampsia, intrauterine fetal growth retardation and similar medical and surgical conditions of comparable severity. An ectopic pregnancy which is terminated is also considered a Complication of Pregnancy. Complications of Pregnancy shall not include false labor, cesarean section, occasional spotting, and Physician prescribed rest during the period of pregnancy, morning sickness, hyperemesis gravidarum and similar conditions associated with the management of a difficult pregnancy which are not diagnosed distinctly as Complications of Pregnancy. A condition or conditions that are present at birth regardless of causation. Such conditions may be hereditary or due to some influence during gestation.
Appears in 1 contract
Sources: Certificate of Coverage