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<br />c. <br /> <br />SB-A2 <br /> <br />b. <br /> <br />Accident-related Dental Services <br /> <br />Authorized services performed or rendered by <br />a Dentist for treatment of any Sound Natural <br />Teeth made necessary as a result of InJury <br />(except InJury resulting from biting or chew- <br />ing) occurring while coverage under this <br />Contract is in force. No coverage is pro- <br />vided unless (1) the Dentist certifies to <br />Health Plan that teeth were Sound Natural <br />Teeth that were inJured as the result of <br />an accident, and (2) the services are pro- <br />vided within six (6) months of the InJury. <br /> <br />Prosthetics and Durable Medical Equipment <br /> <br />If provided by or under the direction of a <br />Participating Physician, when authorized in <br />advance by Health Plan, for use outside a <br />Hospital, Skilled Nursing Facility, or other <br />Approved Health Care Facility: <br /> <br />(1) <br /> <br />Initial purchase of artificial limbs <br />and artificial eyes made necessary as <br />a result of InJury or Sickness (except <br />that repair, replacement and dupli- <br />cates are not covered). <br /> <br />(2) <br /> <br />Rental or purchase of the following <br />Durable Medical Equipment, except that <br />repair, replacement and duplicates are <br />not covered: <br /> <br />(a) <br /> <br />Braces, including necessary ad- <br />Justment to shoes to accommodate <br />braces (dental braces are ex- <br />cluded) ; <br /> <br />(b) <br /> <br />Oxygen and the rental of equipment <br />for the administration of oxygen; <br /> <br />(c) <br /> <br />Wheelchairs; <br /> <br />(d) <br /> <br />A hospital-type bed; <br /> <br />(e) <br /> <br />Mechanical equipment necessary <br />for treatment of chronic or <br />acute respiratory failure (except <br />that air conditioners, humidi- <br />fiers, dehumidifiers and the <br />other personal comfort items <br />are excluded). <br /> <br />-7- <br /> <br />NONE <br /> <br />NONE <br /> <br />NONE <br /> <br />NONE <br /> <br />NONE <br /> <br />NONE <br /> <br />NONE <br />