12578

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7 years 1 month
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Reconstructive surgery. This is non-dental surgery that is meant to improve or give back bodily function or correct a functional physical impairment caused by a birth defect, a prior surgical procedure or disease or an accidental injury. This includes surgery to correct a deformity or disfigurement caused by an accidental injury. For services on or after November 8, 2016, this also includes surgery to correct or repair disturbances of body composition caused by HIV associated lipodystrophy syndrome, when the treatment is determined necessary to correct, repair, or lessen the effects of this syndrome. These services include (but are not limited to): reconstructive surgery, such as suction-assisted lipectomy; other restorative procedures; and dermal injections or fillers for reversal of facial lipoatrophy syndrome. For services furnished for HIV associated lipodystrophy syndrome not covered by Medicare, this health plan provides full coverage when furnished by a network provider.