FOLLOW-UP CARE
FOLLOW UP PHYSICIAN OFFICE VISIT BENEFIT
We will pay the benefit shown in the Schedule of Benefits, if a Covered Person requires a Follow-up Physician Office Visit due to a Covered Injury resulting directly and independently of all other causes from a Covered Accident and is examined or treated by a Physician or medical professional in such individual’s office ( Office includes virtual care visits ) .
Recommendation from Physician is required and the Covered Person is entitled to payable Initial Care and/or Emergency Care benefits.
Benefit Conditions Examination or treatment must be provided within 90 days of the Covered Accident. Treatment must be completed within 365 days from the Covered Accident.
Benefit Limitations 1.
Only 10 benefits will be paid for each Covered Person per Covered Accident.
For purposes of this benefit:
Definitions
Medical professional can include providers that are appropriately licensed professionals, including but not limited to those practicing chiropractic care, speech therapy, occupational therapy, vocational therapy, respiratory therapy, and mental health treatment associated with Covered Accidents.
The exclusions that apply to this benefit are in the Common Exclusions Section.
Exclusions
FOLLOW UP PHYSICAL THERAPY BENEFIT
We will pay the benefit shown in the Schedule of Benefits, subject to the following conditions and exclusions, if the Covered Person requires Follow up Physical Therapy due to a Covered Injury resulting directly and independently of all other causes from a Covered Accident. Recommendation from a Physician is required and the Covered Person is entitled to payable Initial Care and/or Emergency Care benefits.
Benefit Conditions 1.
Physical therapy must begin within 120 days of the Covered Accident. 2. All treatments must be completed within 365 days of the Covered Accident.
Benefit Limitations 1.
Only 10 benefits will be paid for each Covered Person per Covered Accident.
For purposes of this benefit:
Definitions
Physical Therapy means manipulation by physical and mechanical means including heat treatment or diathermy, ultrasonic, microtherm, manipulation, adjustment, massage therapy and acupuncture as performed by a licensed Physical Therapist.
The exclusions that apply to this benefit are in the Common Exclusions Section.
Exclusions
GAI-00-2201.00
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