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C L A S S I C
SEA SEA
USD
- -
providers
co-payment
some non-net -
Lifetime Maximum No limit
No coverage
Optional
Fully covered
Room
$150/day
For a parent accompanying a
person
Fully covered
medical condition
SEA SEA
No coverage
covered illness
Covered up to 90 days
No Coverage
co-payment
Chinese
coverage
diagnosis, medical advice or
SEA SEA
No coverage
covered illness
Covered up to 90 days
No Coverage
co-payment
Chinese
coverage
diagnosis, medical advice or
SEA SEA
Emergency Medical Evacuation(Subject to Overall Inpatient Maximum)
medically necessary to the
facility
emergency medical recommendations and arrange necessary transportation
an accompanying person in the case of initial transportation
person
person and the accompanying person
For an accompanying person in case of emergency medical
No coverage
No coverage
Mammogram
No coverage
SEA SEA
Emergency Medical Evacuation(Subject to Overall Inpatient Maximum)
medically necessary to the
facility
emergency medical recommendations and arrange necessary transportation
an accompanying person in the case of initial transportation
person
person and the accompanying person
For an accompanying person in case of emergency medical
No coverage
No coverage
Mammogram
No coverage
OPTIONAL BENEFITS
12-months Waiting Period IP and OP plans only
Coverage
Maternity Prenatal care, normal delivery or medically necessary C-section, complication of maternity and postnatal care.
Infant Care
Coverage
times per Policy Year.
+
OPTIONAL BENEFITS
12-months Waiting Period IP and OP plans only
Coverage
Maternity Prenatal care, normal delivery or medically necessary C-section, complication of maternity and postnatal care.
Infant Care
Coverage
times per Policy Year.
+