PROSTHESIS: A Prosthesis benefit will be payable if you or your Insured Dependent require a prosthetic limb as a result of Injury sustained due to a Covered Accident if such prosthesis is prescribed by a Physician and received by you or your Insured Dependent within 365 days of the Covered Accident. If the Injury sustained is considered a Catastrophic Loss as defined, a Physician must prescribe the prosthesis and you or your Insured Dependent must receive it within 2 years of the Covered Accident. Only one benefit is payable per limb, up to 2 limbs for each person insured per Covered Accident. REHABILITATION FACILITY CONFINEMENT: A Rehabilitation Facility Confinement benefit will be payable for each day you or your Insured Dependent are confined in a Rehabilitation Facility because of Injury sustained due to a Covered Accident if confinement begins within 180 days of the Covered Accident. This benefit is payable per day for up to thirty (30) days for each person insured per Covered Accident over the course of 365 days from the date of initial Rehabilitation Facility Confinement. Only one Rehabilitation Facility Confinement benefit is payable regardless of whether more than one Covered Accident caused such confinement. The Rehabilitation Facility Confinement benefit is not payable for any day that you or your Insured Dependent receive benefits under the Hospital Confinement or ICU Confinement benefits. SURGERY: Abdominal or Thoracic Surgery: An Abdominal or Thoracic Surgery benefit will be payable if you or your Insured Dependent sustain an Injury as a result of a Covered Accident that is diagnosed as requiring abdominal or thoracic surgery and has surgical treatment by a Physician within 72 hours of the Covered Accident. Only one benefit will be payable for each person insured per Covered Accident. Exploratory Surgery: An Exploratory Surgery benefit will be payable for exploratory surgery for the procedures listed under Surgery Benefits if such surgery is performed and no repair is done. Only one benefit will be payable for each person insured per Covered Accident. Knee Cartilage: A Knee Cartilage benefit will be payable if you or your Insured Dependent sustain torn cartilage in the knee due to a Covered Accident and the Injury is: (1) treated by a Physician within 6 months of the Covered Accident; and (2) repaired or removed through surgery by a Physician within 365 days of the Covered Accident. Only one benefit will be payable per knee for each person insured per Covered Accident. Ruptured Disc: A Ruptured Disc benefit will be payable if you or your Insured Dependent sustain a ruptured disc in the spine as a result of a Covered Accident requiring surgical repair if the Injury is: (1) treated by a Physician within 6 months of the Covered Accident; and (2) repaired surgically by a Physician within 365 days of the Covered Accident. Only one benefit will be payable for each person insured per Covered Accident. LRS-9548-0318-IN Page 7.5
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