AO22OCFL 2 The Outpatient Hospital or Ambulatory Surgical Center benefit pays an indemnity amount when a Covered Person undergoes a surgical procedure, without Confinement, at a Hospital or Ambulatory Surgical Center. This benefit is payable only once per Covered Person in a 24-hour period even if more than one surgical procedure is performed. The Anesthesia benefit pays an indemnity amount for the services of an anesthesiologist received as a result of surgery performed due to Injuries sustained by a Covered Person. This benefit is payable only once per Covered Person in a 24-hour period even if more than one surgical procedure is performed. The Hospital Admission benefit pays an indemnity amount for the first day a Covered Person is Confined. If both the Hospital Admission benefit and ICU Admission benefit are payable for the same day, only the ICU Admission Benefit Amount will be paid. The Hospital Confinement benefit pays an indemnity amount for each day a Covered Person is Confined. This benefit is payable once per day up to 365 days per Covered Person per Covered Accident. If both the Hospital Confinement benefit and Hospital Admission benefit are payable for the same day, only the Hospital Admission Benefit Amount will be paid. If both the Hospital Confinement benefit and ICU Admission benefit are payable for the same day, only the ICU Admission Benefit Amount will be paid. The ICU Admission benefit pays an indemnity amount for the first day a Covered Person is Confined in an Intensive Care Unit (ICU). This benefit is payable once per Covered Person per Covered Accident. If both the ICU Admission benefit and Hospital Admission benefit are payable for the same day, only the ICU Admission Benefit Amount will be paid. The ICU Confinement benefit pays an indemnity amount for each day a Covered Person is Confined in an Intensive Care Unit (ICU). This benefit is payable once per day up to 30 days per Covered Person per Covered Accident. If both the ICU Confinement benefit and ICU Admission benefit are payable for the same day, only the ICU Admission Benefit Amount will be paid. If both the ICU Confinement benefit and Hospital Confinement benefit are payable for the same day, the ICU Confinement Benefit Amount will be paid in addition to the Hospital Confinement Benefit Amount. The Rehabilitation benefit pays an indemnity amount for each day a Covered Person is an inpatient in a Rehabilitation Unit following a Hospital admission. The treatment must begin immediately after the date of discharge from the Hospital. This benefit is payable once per day up to 30 days per Covered Person per Covered Accident. The Initial Treatment benefit pays an indemnity amount for the first treatment a Covered Person receives for Injuries sustained. Initial treatment must be received within 30 days of the Covered Accident. The Follow-Up Treatment benefit pays an indemnity amount for additional treatment over and above the initial medical treatment a Covered Person receives for Injuries sustained. The Follow- Up Treatment Benefit Amount will only be payable if the initial treatment was received within 30 days of the Covered Accident. This benefit is payable up to 6 follow-up treatments per Covered Person per Covered Accident. The Eye Injury benefit pays an indemnity amount for surgery of the eye or removal of a foreign object from the eye of a Covered Person that is a result of an Injury to one or both eyes. The Dislocation benefit pays an indemnity amount for a Covered Person who receives a Dislocation and requires Open or Closed Reduction. The amount payable for this benefit will be based on the joint Dislocated. We will pay the Open or Closed Reduction Benefit Amount as shown in the Schedule of Benefits if the Dislocation is repaired by a Physician under general anesthesia.