Egg Donor Recipient Complication Insurance
Egg Donor Recipient Complication InsuranceSM
PLAN DESCRIPTION:
Providing complication insurance for all Intended Parents utilizing IVF procedures alone or with an egg donor during the synchronization of your cycle.
| California Network Providers | Out of California Network Providers |
| Plan Maximum: | $500,000 combined single limit for egg donor and recipient. |
| Coverage: | Complications only. |
| Accidental Paralysis: |
$200,000 Combined single limit for egg donor and recipient. |
| Accidental Death Benefit: |
$200,000 Combined single limit for egg donor and recipient. |
| Coordination of benefits: |
Policy is secondary. |
Medical Plan Premium And Deductible
| Premium | US $395.00 Due per cycle. |
| Deductible | $0 |
| Coverage Term: | The policy remains in effect (4) months from the reported cycle start date provided that complications are incurred within ninety(90) days of the completion of the cycle. |
Preexisting Limitations And Exclusions
Exclusion:
Any claims reported outside of the US. Any complication resulting in claims not directly related to the egg donation and retrieval process.
Requirements:
The Egg Donor Recipient Complication InsuranceSM must be purchased per cycle.
It is a condition and warrantee that the egg donors and recipients are in good health, medically examined, interviewed and cleared by a three year or more board certified reproductive endocrinologist.
Limitations:
This Certificate provides limited benefits, and should not be considered Basic Hospital or Basic Major Medical Coverage. Benefits under this Certificate will be secondary, in excess of any other collectable medical expense insurance.
Pre-existing Conditions:
This policy covers no Pre-existing Conditions.
:: Surrogate |
The insurance broker and any other persons or agencies are held harmless from any loss or damages arising from health insurance, life insurance, indemnity or supplemental benefits on the surrogate, Intended parent or egg donor being denied or accepted for coverage. New Life Agency, Insurance Agency does not make any representations regarding the insurance policies referenced herein or otherwise and is not in any way responsible for the coverage of such insurance or loss or damages from the denial of any claims under such policies. Health insurance, life insurance, indemnity or supplemental benefits and exclusions can and may change without notice.
© New Life Agency, Insurance Agency 2003




