Part 5 Limitations and Exclusions The described in this Benefit Description are limited or excluded as covered services follows: Admissions Before a Member’s Effective Date The benefits described in this Benefit Description are provided only for covered services furnished on or after your If you are already an in a (or another effective date. inpatient hospital covered health care facility) on your Medex will provide benefits starting on your effective date, This is the case only if from the start of that stay until your effective date. inpatient effective date you were covered the whole time under a contract with a Blue Cross and/or Blue Shield Plan. But, these benefits are subject to all the provisions described in this Benefit Description. Ambulance Services No benefits are provided for ambulance services. (See your handbook for information Medicare the benefits provides for these services.) Medicare Benefits From Sources No benefits are provided for health care services and supplies to treat an illness or injury for which you have the right to benefits under government programs. These include the Veterans Administration for an illness or injury connected to military service. They also include programs set up by other local, state, federal or foreign laws or regulations that provide or pay for health care services and supplies or that require care or treatment to be furnished in a public facility. Medex does not provide supplemental benefits for not eligible for benefits covered services under Also, no benefits are provided if you could have received governmental benefits Medicare. by applying for them on time. Birth Control No benefits are provided for: birth control drugs; birth control devices (for example, IUDs, diaphragms and levonorgestrel implant systems); and overthecounter birth control preparations (for example, condoms, birth control foams, jellies and sponges). Blood and Related Fees No benefits are provided for: whole blood; packed red blood cells; blood donor fees; and blood storage fees not eligible for benefits under (See your handbook for details Medicare. Medicare about the benefits provides.) Medicare
Part 5 Limitations and Exclusions The covered services described in this Benefit Description are limited or excluded as follows: Admissions Before a Member’s Effective Date The benefits described in this Benefit Description are provided only for covered services furnished on or after your effective date. If you are already an inpatient in a hospital (or another covered health care facility) on your effective date, Medex will provide benefits starting on your effective date. This is the case only if from the start of that inpatient stay until your effective date you were covered the whole time under a contract with a Blue Cross and/or Blue Shield Plan. But, these benefits are subject to all the provisions described in this Benefit Description. Ambulance Services No benefits are provided for ambulance services. (See your Medicare handbook for information the benefits Medicare provides for these services.) Benefits From Sources No benefits are provided for health care services and supplies to treat an illness or injury for which you have the right to benefits under government programs. These include the Veterans Administration for an illness or injury connected to military service. They also include programs set up by other local, state, federal or foreign laws or regulations that provide or pay for health care services and supplies or that require care or treatment to be furnished in a public facility. Medex does not provide supplemental benefits for covered services not eligible for benefits under Medicare. Also, no benefits are provided if you could have received governmental benefits by applying for them on time. Birth Control No benefits are provided for: birth control drugs; birth control devices (for example, IUDs, diaphragms and levonorgestrel implant systems); and overthecounter birth control preparations (for example, condoms, birth control foams, jellies and sponges). Blood and Related Fees No benefits are provided for: whole blood; packed red blood cells; blood donor fees; and blood storage fees not eligible for benefits under Medicare. (See your Medicare handbook for details about the benefits Medicare provides.)