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overage Period. We will only pay Reasonable and Customary Charges for health care services or supplies provided by Physicians, licensed dentists, Hospitals, and Other Licensed Providers that are received during Your Trip which are Medically Necessary for: 1. Emergency Medical Care; and 2. Emergency

res Definitions Signed for BCS Insurance Company, 2 MidAmerica Plaza, Suite 2O0. Oakbrook Terrace, IL 6O181. liF -'7. "' " afirtaladf . natant/ PROIDENT 52.201.008.NY AN EFTA00317289 Part I. EFFECTIVE DATE Insurance coverage shall be effective at 12:01 A.M. on the date the scheduled Trip begins.

overage Period. We will only pay Reasonable and Customary Charges for health care services or supplies provided by Physicians, licensed dentists, Hospitals, and Other Licensed Providers that are received during Your Trip which are Medically Necessary for: 1. Emergency Medical Care; and 2. Emergency

res Definitions Signed for BCS Insurance Company, 2 MidAmerica Plaza, Suite 2O0. Oakbrook Terrace, IL 6O181. liF -'7. "' " afirtaladf . natant/ PROIDENT 52.201.008.NY AN EFTA00317257 Part I. EFFECTIVE DATE Insurance coverage shall be effective at 12:01 A.M. on the date the scheduled Trip begins.

overage Period. We will only pay Reasonable and Customary Charges for health care services or supplies provided by Physicians, licensed dentists, Hospitals, and Other Licensed Providers that are received during Your Trip which are Medically Necessary for: 1. Emergency Medical Care: and 2. Emergency

ns Claims Filing Procedures Definitions Signed for BCS Insurance Company, 2 MidAmerica Plaza, Suite 2O0. Oakbrook Terrace, IL 6O181. liF SWIMS PROIDENT 52.201.008.NY AN EFTA00304621 Part I. EFFECTIVE DATE Insurance coverage shall be effective at 12:01 A.M. on the date the scheduled Trip begins.

overage Period. We will only pay Reasonable and Customary Charges for health care services or supplies provided by Physicians, licensed dentists, Hospitals, and Other Licensed Providers that are received during Your Trip which are Medically Necessary for: 1. Emergency Medical Care; and 2. Emergency

res Definitions Signed for BCS Insurance Company, 2 MidAmerica Plaza, Suite 2O0. Oakbrook Terrace, IL 6O181. liF -'7. "' " afirtaladf . natant/ PROIDENT 52.201.008.NY AN EFTA00317307 Part I. EFFECTIVE DATE Insurance coverage shall be effective at 12:01 A.M. on the date the scheduled Trip begins.