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The following provisions are common to all Humana"' ' Medical Plan, Inc. options: Coordination of benefits Humana plan coverage is coordinated with similar benefits under other group hospital and medical service plans. In no event will use of the coordination of benefits provision cause Humana to pay more than it would have paid if no other coverage was involved. Your contract will explain coordination of benefits in more detail. Dependent coverage Eligible dependents include the employee's spouse and unmarried children. Check your Certificate of Coverage for details. Eligibility umana plans are available to members of groups where formal employer - employee relationship exists. Skilled nursing facility Humana provides coverage of non - custodial care in a skilled nursing facility up to 100 days per lifetime (prior plan approval required). Coverage for room and board is based on the facility's most common semi - private rate. Extension of coverage for totally disabled plan members If a member is continuously totally disabled when we terminate the Group Plan — due to an illness or injury that began while the contract was in effect — we will continue to cover services related to the injury or illness until: • the member is no longer continuously totally disabled; • the member becomes covered by any medical insurance or health services plan carried or sponsored by the employer that does not have limitations regarding the disabling condition; • the last day of the twelve -month period following the date we terminate the Group Plan; or the plan limitations have been reached. Home health care Humana provides home health care services (prior plan approval required). Coverage is limited to our schedule of reasonable costs. Maternity services If the plan your employer selected provides maternity services for employees and their eligible dependents, then those services will be provided on the same basis as coverage payable for any other covered condition. Health services are not extended to a child born as a result of a pregnancy that existed when the Group Plan was terminated. Pre - admission testing Under Humana plans preadmission testing is covered at 100 percent if ordered by a participating provider. Second medical opinion Humana may provide full coverage for qualified second medical opinions (including additional, not previously completed X -rays and laboratory tests). Waiting period for membership At the employer's option, new employees may be subject to a waiting period for membership in the Plan. The provisions shown here are subject to change without notice.