Surgeries Definitions True or False Contraceptives Coverages
100
What is a vasectomy?
Sterilization method in males that is eligible for coverage unless specifically excluded.
100
What is the act of becoming a mother?
Maternity
100
True
A drug rider will cover state mandated contraceptive devices and medications.
100
What is an oral contraceptive?
A medication in pill form used to prevent pregnancy.
100
What is In-Vitro Fertilization?
A covered procedure, if specifically stated under the benefit administration screen, to implant an embryo in a uterus.
200
What is tubal ligation?
One sterilization method in women, a covered expense, that involves the fallopian tubes.
200
What is a well newborn?
Baby discharged with the mother and not confined to a neonatal intensive care unit.
200
False
Medical procedures performed to ensure the sex of a baby are covered with a special rider on your policy.
200
What is a state mandate?
A law which requires coverage for contraceptive pills or devices.
200
What is an exclusion?
Any infertility treatment not included under coverage, unless mandated by state laws.
300
What is a cesarean section?
A surgery that requires a 96-hour hospital stay.
300
What is infertility?
Inability to conceive a child by a couple who have had regular sexual relations without contraceptive.
300
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.
300
What is a drug rider?
A sub-heading to the benefit summary screen that includes what contraceptives are covered in a plan.
300
What is a covered dependent?
A plan that allows a newborn's charges to be paid for the first 31 days of life.
400
What is procedure code?
A method of classifying or billing a surgery.
400
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.
400
True
Cryopreservation is a hormonal medication used during a cycle of IVF.
400
What is an illness?
A situation where contraceptive pills can be covered even if it is not covered in the plan, under certain situations.
400
What is a well newborn stay?
A part of the mothers charges and no hospital review is required.
500
What is a procedure code used for infertility surgery?
17V
500
What is artificial insemination?
The act of implanting sperm into the female.
500
False
An Oocyte is an egg cell that has completed the maturation process.
500
What is a vasectomy or tubal ligation?
A procedure reversal that is not covered unless as a special provision.
500
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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