Family Planning And Contraceptive Management
This is the required coverage under insured plans due to mandates
What is contraception
Reversal of this is a standard exclusion of all Anthem policies, regardless of any infertility coverage on the plan
What is sterilization
In insurance terms, this means the care and treatment of a pregnant female throughout the term of the pregnancy
What is maternity
This occurs before an illness and/or disease is contracted
What is preventative care
The branch of medicine concerned with the treatment of injuries and disease by operations and manipulation
What is surgery
These contraceptives are covered
What is Tubal Ligation
This is a technique where the ovum is removed from the female's body and combined with the sperm in a laboratory setting, to facilitate fertilization
What is In-Vitro Fertilization (IVF)
This term is used when an infant is discharged with it's mother
What is a well newborn
This special profile heading is added to the adult preventative care headings when adult immunizations are included as a benefit
What are Adult immunizations pay
A physicians assistant who provides medical services that he/she is competent to perform
What is a Licensed Practitioner
The number of states that mandate contraceptives
What is 26
This process is a variation of IVF in which the sperm are aspirated via laparoscopy from the testes of the male, then loaded into a catheter with the female ova and then injected into the females fallopian tubes
What is Zygote Intra-Fallopian Transfer (ZIFT)
Anthem plans will allow a newborn's charges for how many days of life, regardless of the subscriber's election of dependent coverage
What is 31 days
If a member is insured & subject to this, some preventative services may be eligible for benefits due to state laws
What are state mandates
Incision, excision, amputation, and repair are all considered what type of surgery
What are cutting operations
Tubal ligation or vasectomies are eligible expenses, unless excluded by benefit admin are examples of what term
What are contraceptive surgeries
This must be reviewed to determine which, if any, infertility procedures are covered and to determine the correct benefits
What is Evidence of Coverage (EOC)/Certificate
Should a child have to stay confined to the hospital beyond the mother's discharge, would the claim be filed under the mother's file or the newborn's file
What is the newborn's file
Diagnosis codes for preventative care began with what letter
What is the letter V
The skin, hair, nails, and exocrine glands are known as this
What is the integumentary system