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  • An accidental injury, life threatening or a sudden, unexpected onset of a condition which reasonably appears to have the potential of causing immediate disability or death, or which requires the immediate alleviation of pain and discomfort.¬†Maxicare shall depend on the concurrence of the attending ER physician to determine whether a case is emergency in nature or not.

Any device, medical treatment, supply or procedure whose safety and efficacy has not been established and proven is considered experimental/investigational (unproven) and is excluded from the coverage.

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