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') ) 2.19.01 Emergency Medical Condition means: 2.19 2.19.02 o A medical condition manifesting itself by acute symptoms of sufficient severity such that the absence of immediate medical attention could reasonably be expected to result in any of the following: a) Serious jeopardy to the health of a patient, including a pregnant woman or fetus. b) Serious impairment to bodily functions. c) Serious dysfunction of any bodily organ or part. With respect to a pregnant woman: a) That there is inadequate time to effect safe transfer to another Hospital prior to delivery; b) That a transfer may pose a threat to the health and safety of the patient or fetus; or c) That there is evidence of the onset and persistence of uterine contractions or rupture of the membranes. Examples of Emergency Medical Conditions include, but are not limited to: heart attack, stroke, massive internal or external bleeding, fractured limbs, or severe trauma. 2.20 Emergency Medical Services and Care means medical screening, examination, and evaluation by a physician, or, to the extent permitted by applicable law, by other appropriate personnel under the supervision of a physician, to determine if an Emergency Medical Condition exists and, if it does, the care, treatment, or surgery for a covered service by a physician necessary to relieve or eliminate the Emergency Medical Condition within the service capability of the Hospital. In-area emergency does not include elective or routine care, care of minor illness, or care that can reasonably be sought and obtained from the Member's physician. The detemlination as to whether or not an illness or injury constitutes an emergency shall be made by AvMed and may be made retrospectively based upon all information known at the time the patient was present for treatment. Out-of-area emergency does not include care for conditions for which a Member could reasonably have foreseen the need of such care before leaving the Service Area or care that could safely be delayed until prompt return to the Service Area. The determination as to whether or not an illness or injury constitutes an emergency shall be made by AvMed and may be made retrospectively based upon all infornmtion known at the time the patient was present for treatment. 2.21 Exclusion means any provision of this Contract whereby coverage for a specific hazard or condition is entirely eliminated. 2.19.03 2.20.01 ) 2.20.02 2.22 Full-Time Student or Part-Time Student means one who is attending a recognized and/or accredited college, university, vocational, or secondary school and is carrying sufficient credits to qualify as a Full- Time or Part-Time Student in accordance with the requirements of the school. See Snbsection 3.02.02(1). 2.23 Group nealth Insurance (for purposes of Part XII) means that fonn of health insurance covering groups of persons under a master Group Health Insurance policy issued to anyone of the groups listed in Sections 627.552 (employee groups), 627.553 (debtor groups), 627.554 (labor union and association groups), and 627.5565 (additional groups), Florida Statutes. 2.23.01 A V-CHOICE-2009 MP-5320 (10/09) The terms 'amount of insurance' and linsurance' include the benefits provided under a plan of self-insurance. 4