The MILA National Health Plan
  •  
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
Routine Preventitive Care (In-Network Only)
Care for an Ongoing Medical Condition or Specific Symptom
Disease Management Program for Chronic Conditions
Case Management for Catastrophic Conditions
Maternity Care
Family Planning
Care from a Specialist
Outpatient Surgery
Second Opinions
Emergency and Urgent Care
Urgent Care
Hospital Care
Room and Board
Other Hospital Expenses
Emergency Room Expenses
Pre-AdmissionExpenses
Physician Vists
Surgical Costs
Ambulance Service
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
Medical Expensese Not Covered Under the Plan
Charges Not Covered in the Behavioral Health Program
Charges Not Covered in the Prescription Drug Program
Expand Coordination of BenefitsCoordination of Benefits
Third Party Reimbursement and Subrogation
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

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 48 hours after the admission. A maternity admission requires approval only if the stay exceeds 48 hours (96 hours in the case of a cesarean section).

  • About Us
  • |
  • Trustees
  • |
  • Email Us
  • |
  • MILA Privacy Policy
  • |
  • Disclaimer