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Gender reassignment surgery for up to $50,000 per member each calendar year (also includes outpatient benefits; refer to Surgery as an Outpatient for outpatient member cost share amounts).

Gender reassignment surgery (also includes outpatient benefits; refer to Surgery as an Outpatient for outpatient member cost share amounts).

Hormone therapy for gender reassignment.

In-network benefits also include services furnished by a Christian Science practitioner.

Routine mammograms (at least one baseline mammogram during the five-year period a member is age 35 through 39 and one mammogram each plan year for a member age 40 or older).

Routine prostate specific antigen (PSA) blood tests (at least one test each plan year for a member age 40 or older).

One baseline mammogram during the five-year period a member is age 35 through 39 and one mammogram for each member in each plan year for a member age 40 or older.

One routine PSA (prostate-specific antigen) blood test each plan year for a member age 40 or older.

Self-referred benefits also include services furnished by a Christian Science practitioner.

In-network benefits also include services furnished by a Christian Science practitioner.