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Note: For covered transplants, benefits are also provided for: up to a maximum of $12,500 for organ or tissue procurement; and transportation and lodging costs for up to a maximum of $10,000 for each transplant.

One visit each month during the first year of life (birth to age one).

Voluntary termination of pregnancy (abortion). (These services are limited to the subscriber or the spouse of the subscriber.)

Voluntary sterilization procedures (including reversal of voluntary sterilization procedures).

The value of the outpatient benefit limit will be at least $1,000 combined for all mental health and substance use treatment for each member in each calendar year (plus $500 more for alcoholism).

The value of the outpatient benefit limit will be at least $1,000 combined for all mental health and substance use treatment for each member in each calendar year (plus $500 more for alcoholism).

The value of the outpatient benefit limit will be at least $1,000 combined for all mental health and substance use treatment for each member in each calendar year (plus $500 more for alcoholism).

These benefits include covered services furnished by a night care center.

These benefits include covered services furnished by a night care center.

These benefits include covered services furnished by a night care center.