This waiting period will be reduced to the extent that you are entitled to a credit for coverage under a previous health plan and did not have a lapse in coverage of 63 days or more. You can select individual, family or domestic partner coverage. The following tables illustrate the range of benefits available under the different options. You should select the benefits option that best meets your needs and financial situation. Your coverage is subject to pre-existing condition limitations as described above .
Emergency care is covered.
It is defined as care for a sudden, unexpected onset of a medical condition of such nature that failure to render immediate care could result in deterioration to the point of placing the patient's life in jeopardy or causing serious impairment to the bodily function of the patient. Precertification requires you or your doctor to call GHI before any planned hospital admission. Precertification helps ensure that you receive quality care and advises you of possible alternatives to hospitalization. You will receive a letter confirming your compliance with this requirement. In addition, Large Case Management is provided by GHI health professionals to help you get appropriate treatment for major illnesses or injuries.