Surgeries | Definitions | True or False | Contraceptives | Coverages |
---|---|---|---|---|
What is a vasectomy?
Sterilization method in males that is eligible for coverage unless specifically excluded.
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What is the act of becoming a mother?
Maternity
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True
A drug rider will cover state mandated contraceptive devices and medications.
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What is an oral contraceptive?
A medication in pill form used to prevent pregnancy.
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What is In-Vitro Fertilization?
A covered procedure, if specifically stated under the benefit administration screen, to implant an embryo in a uterus.
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What is tubal ligation?
One sterilization method in women, a covered expense, that involves the fallopian tubes.
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What is a well newborn?
Baby discharged with the mother and not confined to a neonatal intensive care unit.
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False
Medical procedures performed to ensure the sex of a baby are covered with a special rider on your policy.
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What is a state mandate?
A law which requires coverage for contraceptive pills or devices.
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What is an exclusion?
Any infertility treatment not included under coverage, unless mandated by state laws.
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What is a cesarean section?
A surgery that requires a 96-hour hospital stay.
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What is infertility?
Inability to conceive a child by a couple who have had regular sexual relations without contraceptive.
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False
The newborn has to be added to the subscriber's coverage as a dependent in order to be covered for the first 31 days of life.
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What is a drug rider?
A sub-heading to the benefit summary screen that includes what contraceptives are covered in a plan.
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What is a covered dependent?
A plan that allows a newborn's charges to be paid for the first 31 days of life.
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What is procedure code?
A method of classifying or billing a surgery.
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What is In-Vitro Fertilization
A technique where the ovum is removed from the female's body and combined with the sperm in a laboratory setting to facilitate fertilization.
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True
Cryopreservation is a hormonal medication used during a cycle of IVF.
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What is an illness?
A situation where contraceptive pills can be covered even if it is not covered in the plan, under certain situations.
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What is a well newborn stay?
A part of the mothers charges and no hospital review is required.
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What is a procedure code used for infertility surgery?
17V
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What is artificial insemination?
The act of implanting sperm into the female.
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False
An Oocyte is an egg cell that has completed the maturation process.
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What is a vasectomy or tubal ligation?
A procedure reversal that is not covered unless as a special provision.
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What is a NICU stay (Neonatal Intensive Care Unit)
A stay that requires pre-certification and a creation of a baby's own file.
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