content top new
menuHeader
Skip Navigation Links.
Expand Benefits SummaryBenefits Summary
Collapse What Is CoveredWhat Is Covered
Expand Explanation of TermsExplanation of Terms
Collapse Covered Medical ServicesCovered Medical Services
Expand Other Medical ServicesOther Medical Services
Expand Non-Routine Care and ServicesNon-Routine Care and Services
Expand What is Covered Under the Behavioral Health ProgramWhat is Covered Under the Behavioral Health Program
Expand The Prescription Drug ProgramThe Prescription Drug Program
Expand The MILA Dental PlanThe MILA Dental Plan
Expand The MILA Vision PlanThe MILA Vision Plan
Expand What is Not CoveredWhat is Not Covered
Expand Participation Under the PlanParticipation Under the Plan
Expand Claims and AppealsClaims and Appeals
Expand Your Rights Under ERISAYour Rights Under ERISA
Expand Administrative InformationAdministrative Information
Glossary
menuFooter

WHAT IS COVERED

Hospital Care

There are several reasons you may be admitted to a hospital, including:

  • A planned admission, for example, for non-emergency surgery;
  • An emergency admission; or
  • Pregnancy/maternity.

As described here, a planned admission always requires advance approval, and an emergency admission requires approval within two (2) business days after the admission. A maternity admission requires approval only if the stay exceeds 48 hours (96 hours in the case of a cesarean section).

bottomBar