Only complications which occur and are treated within 45 days after the procedure are covered, and patients must be enrolled in the CosmeticProtect program in order to receive the benefits specified for the following complications:
Deep Vein Thrombosis
Rule Out Deep Vein Thrombosis
Rule Out Myocardial Infarction
Rule Out Pulmonary Embolus
Severe hypotension (systolic blood pressure equal to or less than 80 three hours after the covered procedure)
Severe hypertension (systolic blood pressure equal to or greater than 200 or a diastolic blood pressure equal to or greater than 100 three hours after the covered procedure).
Inpatient Hospital Expense
100% of Usual & Customary up to $5,000 per day up to a maximum of 45 days
Intensive Care / Trauma Expense
Additional $1,000 per day at 100% of Usual and Customary up to a maximum of 10 days
Emergency Medical Expense
100% of Usual and Customary up to $2,500
100% of Usual and Customary up to $2,000
Follow-Up Outpatient Physician Expense
100% of Usual and Customary up to $1,500
Outpatient Procedure to Rule Out Deep Vein Thrombosis
100% of Usual and Customary up to $750
Additional Coverage Conditions
- Benefit Period:
- Only covered expenses incurred during the 6 months from the date coverage is initiated are eligible for reimbursement.
- Other Insurance Provision:
- The coverage provided by CosmeticProtect is payable only in excess of other valid and collectible insurance.