Pregnancy and Maternity Services Sample Clauses

Pregnancy and Maternity Services. This plan covers physician services and the services of a licensed midwife for prenatal, delivery, and postpartum care. The first office visit to diagnose a pregnancy is not included in prenatal services. This plan covers hospital services for mother and newborn child for at least forty-eight
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible 40% - After deductible
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible Not Covered
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible 20% - After deductible Prescription Drugs and Diabetic Equipment and Supplies Prescription drugs and diabetic equipment and supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 0% - After deductible 20% - After deductible Infused drugs* 0% - After deductible 20% - After deductible Medications other than injected and infused drugs* Are included in the allowance for the medical service being rendered. Are included in the allowance for the medical service being rendered.
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 20% - After deductible Not Covered
Pregnancy and Maternity Services. Reimbursement shall equal the Global Fee *** as set forth in Section 7.07 above.
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible 20% - After deductible Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service or for certain services in the benefit category. Please see Preauthorization in Section 5 for more information. You Pay You Pay
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% 20%- Afterdeductible Covered Benefits- See Covered Healthcare Services for additional benefit limits and details. NetworkProviders Non-network Providers (*) Preauthorization may be required for this service or for certain services in the benefit category. Please see Preauthorization in Section 5 for more information. You Pay You Pay Prescription Drugs and Diabetic Equipment and Supplies Prescription drugs and diabetic equipment and supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail ordperharmacy. Prescription drugs dispensed and administered by a licensed health careprovider(other than a pharmacist), and notpurchased from a retail, specialty or mail order pharmacy: Injectable drug*s 20% 20%- Afterdeductible Infused drug*s 20% 20%- Afterdeductible Medications other than injected and infused d*rugs Are included in the allowanc for the medical service bein rendered. Are included in the allowanc for the medical service being rendered. Prevention Care Services and EarlyDetection Services See Prevention and Early Detection Services section fo details. 0% 20%- Afterdeductible Private Duty Nursing Service*s Must be performed by a certified home health care age 0% 20%- Afterdeductible Radiation Therapy/Chemotherapy Services Outpatient 0% 20%- Afterdeductible In a S K o\ ffiVce L F L D Q ¶ V 0% 20%- Afterdeductible Respiratory Therapy Inpatient 0% 20%- Afterdeductible Outpatient 0% 20%- Afterdeductible Skilled Care in aNursing Facility* Skilled or su-bacute care 0% 20%- Afterdeductible Speech Therapy Outpatient hospitainl/ a S K \ WV KL XX XX DD Limited to30 speech therapy visits peprlan year. 20% 20%- Afterdeductible Surgery Services Inpatient physiciasnervices 0% 20%- Afterdeductible Outpatientservices - includesphysicianservices and outpatient hospitaolr ambulatory surgical centfearcility services. 0% 20%- Afterdeductible In a S K o\ ffiVce. L F L D Q ¶ V 0% 20%- Afterdeductible Telemedicine Services When rendered by a designatepdrovider. $15 Not Covered When rendered by anetworkprovider. $15 Not Covered Tests, Labs, Imaging and X-rays - Diagnostic Outpatien,tin a S K o\ ffiVce, uLrgenFt caLreceDnterQor ¶ free-standing laboratory: Major diagnostic imaging and tes*tiinngcluding but not limited to: MRI, MRA, CAT scans, CTA scans PET scans, nuclear medicine and cardiac imaging. 0% 20%- Afterdeductible Sleep studies*. 0% 20%- Afterdeductib...
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible 20% - After deductible Prescription Drugs and Diabetic Equipment and Supplies Prescription drugs and diabetic equipment and supplies purchased at a retail, specialty, or mail order pharmacy. See Summary of PharmacyBenefits See Summary of PharmacyBenefits Prescription drugs requiring administration by a licensed health care provider*: Prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 0% - After deductible 20% - After deductible Infused drugs 0% - After deductible 20% - After deductible Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service or for certain services in the benefit category. Please see Preauthorization in Section 5 for more information. You Pay You Pay Prevention Care Services and Early Detection Services See Prevention and Early Detection Services section for details. 0% 20% - After deductible Private Duty Nursing Services* Must be performed by a certified home health care agency. 0% - After deductible 20% - After deductible Radiation Therapy/Chemotherapy Services Outpatient 0% - After deductible 20% - After deductible In a physician’s office 0% - After deductible 20% - After deductible Respiratory Therapy Inpatient 0% - After deductible 20% - After deductible Outpatient 0% - After deductible 20% - After deductible Skilled Care in a Nursing Facility* Skilled or sub-acute care 0% - After deductible 20% - After deductible Speech Therapy Outpatient hospital/in a physician’s/therapist’s office. 20% - After deductible 40% - After deductible Surgery Services Inpatient physician services 0% - After deductible 20% - After deductible Outpatient services - includes physician services and outpatient hospital or ambulatory surgical center facility services. 0% - After deductible 20% - After deductible In a physician’s office. 0% 20% - After deductible Telemedicine Services When rendered by our designated telemedicine provider. $20 Not Covered When rendered by a network provider or non-network provider other than our designated telemedicine provider. See the covered healthcare service being provided for the amount you pay See the covered healthcare service being provided for the amount you pay Tests, Labs, Imaging and X-rays - Diagnostic ...
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% 20% - After deductible