5.12 AIR TRANSPORTATION
Air Transportation for Dependent Children
The air transportation benefit is available for Dependent children under age 19. This benefit will pay for round-trip coach class air transportation for the Dependent child to obtain Medically Necessary treatment that is not available locally. This provision does not apply to travel for diagnostic testing. Only in circumstances where the treatment is for a life-threatening condition, will the Plan pay for the following additional benefits. The Plan will pay round-trip coach class airfare for one parent who accompanies the Dependent child. While the Dependent child is confined in the Hospital or receiving outpatient treatment, the parent who accompanies the child will be eligible for reimbursement of reasonable expenses for meals, lodging and local ground transportation. The Plan also pays reasonable expenses for meals, lodging and local ground transportation for the Dependent child if he or she is receiving outpatient treatment. The maximum combined reimbursement for the parent and the Dependent child is $75 per day. Original written receipts must be submitted to the Administrative Office in order to obtain reimbursement.
Air Transportation for Emergency Treatment
The Emergency Treatment Air Transportation benefit is available for all Participants. This benefit will pay for up to $500 for coach class air transportation to the nearest medical facility where Medically Necessary Emergency treatment can be given, when such treatment is not available without air transportation. This provision does not apply to travel for diagnostic testing.
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