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Question:

Clarification on ER Visit I was comparing Atlas America and Liason International for ER visit benefits. For Atlas America, it says that the room charges will not be covered if not admitted. And for Liason, it says that "Not covered if visit is not of an emergency nature". Does this mean that Liason also will not cover room charges if not admitted OR will they not cover both (visit charges + room charges) if the visit is not of emergency nature Also in case of ER visit, does the doctor decide whether it was an emergency For example, if someone faints and is taken to ER and Doctor determines that it was just because of exhaustionjet lag, will it be termed a nonemergency situation Thanks.

Answer:

In Liaison International, it will be determined at the insurance company's discretion whether some situation is emergency nature or not. If it is, it will be covered according to the terms of the policy. If it is not, nothing will be covered. I hope it answers your questions. If you have any further questions, please feel free to contact us at any time or post them here.

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DISCLAIMER: Information presented in our Questions and Answers section is generic and was deemed to be accurate at the time of response. Please use the answers as a guide and do not make decisions based on the answers. The answers presented may be outdated and altogether inaccurate currently or not relevant as the details provided such as the insurance terms and conditions, plan benefits, eligibility and coverage may have changed. Insubuy assumes no responsibility for relying on such answers. You should review the latest certificate wording of the insurance policy (available on this website) for the product you are considering for the latest and complete details. If there is any conflict between the answers provided here and the certificate wording, the details of the certificate wording will prevail.

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