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Anesthesia services (including acupuncture) furnished by a Physician other than the attending Physician or by a Certified Registered Nurse Anesthetist or licensed Acupuncturist, when the anesthesia is related to covered surgery. (Note: In-network benefits are provided when these services are furnished by a non-preferred anesthesiologist at a preferred hospital.)

This health plan covers temporomandibular joint (TMJ) disorder treatment furnished by a General, Chronic Disease or Rehabilitation Hospital, Community Health Center, Surgical Day Care Unit, Ambulatory Surgical Facility, Physician or Dentist. These covered services include:

This health plan covers medically necessary short-term rehabilitation therapy furnished by a General, Chronic Disease or Rehabilitation Hospital and Community Health Center. These covered services include:

Drugs that require a prescription by law and are furnished in accordance with Blue Cross Blue Shield medical technology assessment guidelines, except as otherwise excluded for coverage.

This Medex plan covers one routine GYN exam or routine medical exam when the services are furnished by a Physician, Nurse Midwife or Nurse Practitioner.

Three visits each calendar year for ages 2 through 11.

Routine hearing exams furnished by physician (who is an otologist or otolaryingologist) or by an audiologist under the supervision of a physician for the number of visits or dollar amount described in the benefit limit. This includes: one hearing test to determine if a hearing aid is suitable; and one hearing aid evaluation test.

One hearing aid (or one set of binaural hearing aids) up to amount described in the benefit limit. This includes dispensing fees, acquisition costs, batteries and repairs of hearing aid(s).

Childbirth classes, including refresher childbirth courses for each covered expectant mother. The expectant mother is encouraged to attend the childbirth course recommended by her Physician, facility or Nurse Midwife.

In addition, this health plan provides full coverage for smoking cessation classes and stress management classes for enrolled members of all ages.