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<br />SB-A2 <br /> <br />3. <br /> <br />Custodial care or rest cures. <br /> <br />4. <br /> <br />Cosmetic procedures (except when Medically Necessary) and all Health <br />Services related thereto, including, but not limited to, pharmaceutical <br />regimes, nutritional procedures or treatments, plastic surgery, <br />mammoplastic reconstruction and reconstructive surgery. <br /> <br />5. <br /> <br />In vitro fertilization, intra-fallopian transfer treatment, keratotomies, <br />heart transplants, lung transplants, any invasive procedure intended <br />primarily for treatment of morbid obesity, including gastric bypasses and <br />JeJunal bypasses or experimental medical, surgical, or psychiatric <br />procedures and pharmacological regimes and associated health services. <br /> <br />6. <br /> <br />Health Services not provided by or under the direction of a Participating <br />Primary Care Physician or Psychiatric Primary Provider, except in <br />Emergency situations (described in this section under C) or referral <br />services authorized in writing in advance by Health Plan (described in <br />this section under B. ). <br /> <br />7. <br /> <br />Hearing aids, eye glasses, contact lenses, or the fitting thereof. <br /> <br />8. <br /> <br />Such services as television, telephone, barber or beauty service, guest <br />service and similar incidental services and supplies which are not <br />Medically Necessary. <br /> <br />9. <br /> <br />Mental Health Services which are (a) rendered in connection with Mental <br />Illnesses not classified in the International Classification of Diseases <br />of the U.S. Department of Health and Human Services, (b) extended beyond <br />the period necessary for evaluation and diagnosis of learning and <br />behavioral disabilities or for mental retardation, or (c) for marriage <br />counseling, when such services extend beyond the period necessary for <br />short-term evaluation or crisis intervention, or (d) for Mental Illnepses <br />which, according to generally accepted professional standards, are not <br />usually amenable to favorable modification. <br /> <br />10. <br /> <br />The services of registered nurses and licensed practical nurses with the <br />same legal residence as, or who are members of, a Covered Person's family <br />including spouses, brothers, sisters, parents or children. <br /> <br />11. <br /> <br />Physical, psychiatric, or psychological examinations or testing, or <br />vaccinations, immunizations, treatments, or testing not otherwise covered <br />under this Contract, when such services are for purposes of obtaining or <br />maintaining employment or insurance, or otherwise relating to employment <br />or insurance, or relating to Judicial or administrative proceedings or <br />orders, or which are conducted for purposes of medical research, or which <br />are conducted to obtain or maintain a license of any type. <br /> <br />12. <br /> <br />Travel and transportation expenses, even though prescribed by a <br />Participating Physician, except as provided for in this section under C. <br /> <br />13. <br /> <br />Outpatient services (including hospital emergency room services) and all <br />associated expenses obtained during normal physician office hours, unless <br />authorized in advance by the Health Plan or Health Plan's Psychiatric <br />Primary Provider or unless necessary because of an Emergency, except as <br />specified in this section under E.2. (b) of Benefits. <br /> <br />-9- <br />