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4.3.2 Covered Hospital Charges |
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A. Charges made by a Hospital for semi private or intensive care room and board.
B. Charges made by a Hospital for private room and board are covered up to the Hospital’s most prevalent daily rate for semi private accommodations. If a Hospital has no semi private accommodation, covered charges will be limited to the greater of (a) 90% of the lowest private room rate of the Hospital in which confined or (b) the average semi private rate of other Hospitals in the community.
Under certain limited medical conditions requiring patient isolation for Illness that is highly contagious or in those cases where the patient’s immunodefense system has been so compromised that the patient must be protected from all bacteria, the cost of a private room will be covered but only for the period of hospitalization during which the transmission of such diseases is likely.
C. Charges made by a Hospital for services and supplies other than room and board.
D. Charges made by a Hospital for outpatient treatment. |
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St. Louis Graphic Arts Joint Health & Welfare Fund
14323 South Outer Forty Rd. - Suite S106
Chesterfield, Missouri 63017 |
Fund Office: (314) 878-1579
twesthues@slgahw.org
Fax: (314) 275-2640 |
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