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Benefits

Maximum Benefit Amounts

The following amounts are the maximums that apply during any one Benefit Period for all Covered Complications due to the same Surgical Event:

Benefit

Maximum Amount
Hospitalization of 24 hours or longer $5,000 per day up to a maximum of 45 days
ICU / Trauma Admittance Additional $1,000 per day up to a maximum of 10 days
Hospitalization of less than 24 hours $2,500
Ambulance Service $2,000
Follow Up Physician Services $1,500
Rule Out Deep Vein Thrombosis - Non Hospital procedure $750

Benefit Period

Covered Expenses for a Covered Complication are payable until the earliest of:

  1. The date the Covered Complication no longer requires further Hospitalization, or Follow Up Physician Services; or
  2. The date the Maximum Benefit Amounts are paid; or
  3. The expiration of the Benefit Period (six months from the date of the original qualifying admission due to a Covered Complication).

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This is only a brief description of the coverage(s) available under policy series S30418NUFIC. The Policy will contain reductions, limitations, exclusions and termination provisions. Full details of coverage are contained in the Policy. If there is any conflict between the contents of this document and the Policy, the Policy will govern in all cases. Insurance underwritten by National Union Fire Insurance Company of Pittsburgh, Pa., a Pennsylvania insurance company, with its principal place of business at 175 Water Street, 18th Floor, New York, NY 10038. It is currently authorized to transact business in all states and the District of Columbia. NAIC No. 19445. Coverage may not be available in all states.