We will pay the benefit shown in the Schedule of Benefits, if a Covered Person is in a Coma due to a Covered Injury resulting directly and independently of all other causes from a Covered Accident.
Benefit Conditions 1. We will pay this benefit if a Covered Person is in a state of unconsciousness lasting 7 days with no response to external stimuli and requiring artificial respiratory or life support assistance. 2. Coma must be diagnosed by a Physician and is only payable 1 time per Covered Accident.
Benefit Limitations We will not pay this benefit if a Coma is medically induced.
Diagnostic Advanced Exam Benefit We will pay the benefit shown in the Schedule of Benefits, if a Covered Person requires a Diagnostic Advanced Examination due to a Covered Injury resulting directly and independently of all other causes from a Covered Accident. Diagnostic Advanced Exams are: CT or CAT Scans, MRI, PET, SPECT, or other similar tests. They do not include x-rays or laboratory studies such as blood chemistries, urinalysis, or other similar microscopic study of human blood, fluids, or bodily tissues.
Benefit Conditions The examination must occur within 90 days of the Covered Accident.
Benefit Limitations This benefit is only payable 1 time per covered accident.
Appliance Benefit We will pay the benefit shown in the Schedule of Benefits, if a Covered Person requires a medical appliance for purposes of mobility due to a Covered Injury resulting directly and independently of all other causes from a Covered Accident. Benefit Conditions 1. The medical appliance must be prescribed by a Physician and must meet the definition of Durable Medical Equipment. 2. The appliance must be prescribed within 90 days from the date of the Covered Accident. Benefit Limitations 1. We will not pay this benefit for prescribed or non-prescribed hearing aids, dentures, eye glasses, cosmetic devices such as wigs, or artificial joint replacements. 2. If more than 1 appliance is required we will pay 2 times the benefit shown in the Schedule of Benefits. 3. This benefit is payable 1 time per Covered Accident. Prosthesis Benefit We will pay the benefit shown in the Schedule of Benefits, if a Covered Person requires a prosthetic arm, leg, hand, foot, or eye due to a Covered Injury resulting directly and independently of all other causes from a Covered Accident.
Benefit Conditions 1.
The Prosthesis must be prescribed by a Physician. 2. Prosthesis must be received within 90 days from the date of the Covered Accident.
Benefit Limitations 1. We will not pay for hearing aids, dentures, eye glasses, cosmetic devices such as wigs, or artificial joint replacements. 2. If more than one prosthesis is required We will pay 2 times the benefit shown in the Schedule of Benefits. 3. This benefit is payable 1 time per Covered Accident. Paralysis - Paraplegia or Hemiplegia Benefit We will pay the benefit shown in the Schedule of Benefits, if a Covered Person suffers a spinal cord injury resulting in complete paralysis of 2 or 3 limbs due to a Covered Injury resulting directly and independently of all other causes from a
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