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Definition of Terms

    Hospital
    A facility that meets all of these tests:

    • it provides in-patient services for the care and treatment of injured and sick people;
    • it provides room and board services and nursing services 24 hours a day;
    • it has established facilities for diagnosis and major surgery;
    • it is run as a hospital under the laws of the jurisdiction in which it is located

    Hospital does not include a place run mainly: (a) for alcoholics or drug addicts; (b) as a convalescent home; or (c) as a nursing or rest home. The term "hospital" includes a substance abuse treatment facility during any period in which it provides effective treatment of substance abuse to the covered person.

    Hospital Confinement
    A documented inpatient stay in a hospital as a resident bed patient