Surgical Costs
Covered expenses related to a surgery or operation include:
- The surgeon’s immediate pre-operative examination;
- The surgical procedure itself and an assisting physician,
if the procedure requires one and the hospital
does not have any available staff physicians qualified
to provide the needed assistance;
- The post-operative care needed for the procedure; and
- Any breast reconstruction required after a mastectomy,
and the purchase of any prosthesis (artificial
implants) needed as a result of a mastectomy.
If you have more than one surgical procedure performed
at the same time, the maximum covered charge equals
the allowable charge for the most expensive procedure
plus one-half the allowable charge for each additional
procedure.
