Common use of Maternity Care Clause in Contracts

Maternity Care. (a) There is a maximum benefit of two thousand five hundred dollars ($2,500) for each pregnancy with no deductible or coinsurance. (b) Pre and post-natal treatment, childbirth, complications of pregnancy or delivery, and well baby care are included in the maximum maternity benefit listed in this policy. (c) This benefit shall apply for covered pregnancies. Covered pregnancies are those where the actual date of delivery is at least twelve (12) months after the effective date of coverage for the respective insured mother. (d) There is no maternity coverage for dependent children. (e) Those Certificate Holders that were previously a dependent child under another policy with the Insurer must have maintained their own individual policy for a minimum of twelve (12) months to be eligible for this maternity care benefit. (f) The twelve (12) month waiting period for maternity coverage always applies regardless of whether or not the ninety (90) day waiting period for coverage under this policy has been waived. There is an optional rider available to cover newborn and maternity complications.

Appears in 3 contracts

Sources: Insurance Policy, Insurance Policy, Group Health Insurance Policy

Maternity Care. (a) There is a maximum benefit according the schedule of two thousand five hundred dollars ($2,500) benefit for each pregnancy with no deductible or coinsurance. (b) Pre and post-natal treatment, childbirth, complications of pregnancy or delivery, and well well-baby care are included in the maximum maternity benefit listed in this policy. (c) This benefit shall apply for covered pregnancies. Covered pregnancies are those where the actual date of delivery is at least twelve (12) months after the effective date of coverage for the respective insured mother. (d) There is no maternity coverage for dependent children. (e) Those Certificate Holders Policyholders that were previously a dependent child under another policy with the Insurer must have maintained their own individual policy for a minimum of twelve (12) months to be eligible for this maternity care benefit. (f) The twelve (12) month waiting period for maternity coverage always applies regardless of whether or not the ninety (90) day waiting period for coverage under this policy has been waived. There is an optional rider available to cover newborn and maternity complications.

Appears in 2 contracts

Sources: Insurance Policy, Insurance Policy

Maternity Care. (a) There is a maximum benefit of two four thousand five hundred dollars ($2,5004,000) for each pregnancy with no deductible or coinsurance. (b) Pre and post-natal treatment, childbirth, complications of pregnancy or delivery, and well baby care are included in the maximum maternity benefit listed in this policy. (c) This benefit shall apply for covered pregnancies. Covered pregnancies are those where the actual date of delivery is at least twelve (12) months after the effective date of coverage for the respective insured mother. (d) There is no maternity coverage for dependent children. (e) Those Certificate Holders Policyholders that were previously a dependent child under another policy with the Insurer must have maintained their own individual policy for a minimum of twelve (12) months to be eligible for this maternity care benefit. (f) The twelve (12) month waiting period for maternity coverage always applies regardless of whether or not the ninety (90) day waiting period for coverage under this policy has been waived. There is an optional rider available to cover newborn and maternity complications.

Appears in 2 contracts

Sources: Insurance Policy, Insurance Policy