|
Health Insurance Plan -
Benefits
Services Provided
A member is entitled to the following services as and if provided at the
AUB medical center, with certain exceptions:
A. In Hospital Coverage
- A hospitalized member
is entitled to professional medical services within the University, and
general hospital services except those listed in Section Seven of the Plan.
- All necessary incurred
hospital charges relating to the treatment of illness or injury while
the member is hospitalized including maternity,
if applicable. Coverage is provided at the AUB
medical Center only, and is 100% in excess of deductibles. However,
coverage at other hospitals, and in emergency
cases only, is a maximum of 80% reimbursable in excess of deductibles at
AUB Medical Center
rates.
- New Born babies will be covered under the mother's maternity benefits
for a maximum of three days. Additional days will be covered by the
infant's own membership, if any; otherwise the
subscriber will pay for all charges and costs.
- Isolation services:
these do not cover fees for special nurses and difference in room mates, if any, which must be paid by the member.
- A
maximum of three days hospitalization for diagnostic purposes only of
suspected mental illness, alcoholism, substance abuse/addiction.
B. Out-Patient (Ambulatory) Coverage
- An HIP member is
entitled to general or specialist physician
consultation services if referred by the University Health
Service.
- An HIP member is
entitled to dignostic X-Ray and Laboratory
examinations, therapy treatment (radiotherapy, chemotherapy and
physiotherapy), emergency room and other necessary services within the
resources of the AUB
Medical Center.
- Mental
illness or substance abuse/addiction diagnosis only for a maximum of two
clinical visits.
|Services Provided
|Services Not
Provided|
size=2 width="100%" align=center>
|