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1 intravenous chemotherapy or other intravenous infusion therapy and Injectable Medications. Self- Administered Injectable Medications are only a covered benefit when included in the supplemental prescription medication benefits. See Section 12.29. 10.25 Physician care: inpatient. All Medical Services rendered by Participating Physicians and other Health Professionals when requested or directed by the Attending Physician, including surgical procedures, anesthesia, consultation and treatrnent by Specialty Health Care Physicians, laboratory and diagnostic imaging services, and physical therapy (see Section 10.28) are covered while the Member is admitted to a Participating Hospital as a registered bed patient. When available and requested by the Mernber, AvMed covers the services of a certified nurse anesthetist licensed under Chapter 464, Florida Statutes. 10:26 Physician care: outpatient 10.26.01 Diagnosis and treatment. All Medical Services rendered by Participating Physicians and other Health Professionals, as requested or directed by the Primary Care Physician, are covered when Medically Necessary and when provided at Medical Offices, including surgical procedures, routine hearing examinations and vision examinations for glasses for children under age 18 (such examinations may be provided by optometrists licensed pursuant to Chapter 463, Florida Statutes or by ophthalrnologists licensed pursuant to Chapter 458 or 459, Florida Statutes) and consultation and treatment by Specialty Health Care Physicians. Also included are non-reusable materials and surgical supplies. These services and materials are subject to the Lirnitations outlined in Part XI (Limitations of Basic Benefits). See Part Xli for Exclusions. 10.26.02 Preventive and health maintenance services. The services of the Member's Primary Care Physician for illness prevention and health maintenance, including child health supervision services and immunizations provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics and/or the Advisory Committee on Immunization Practices; periodic health assessment and physical examinations are also covered. These services are subject to Limitations as outlined in Part XI (Limitations of Basic Benefits). See Part Xli for Exclusions. ') . ) ) 10.27 Physical, occupational or speech therapy. Short-term physical, occupational or speech therapy provided in an outpatient or home care setting is covered for acute conditions, including exacerbation of previously treated conditions, for which therapy applied for a consecutive 2 month period can be expected to result in significant improvement. Coverage of outpatient short-term and rehabilitative services is limited as outlined on the Schedule of Benefits. Long-term physical therapy, occupational therapy, speech therapy, rehabilitation, or other treatment is not covered. 10.28 Prescription medication benefits. Allergy serums and chemotherapy for cancer patients are covered. Coverage for insulin and other diabetic supplies is described in Section 10.06 above. Other retail prescription medications are a covered benefit only when the Subscribing Group Contract includes supplemental prescription medication benefits; coverage is subject to the Co-payment/Co-insurance provisions outlined therein. 10.29 Prosthetic devices. This Contract provides benefits, when Medically Necessary, for prosthetic devices designed to restore bodily function or replace a physical portion of the body. Coverage for prosthetic devices is limited to artificial limbs, artificial joints, ocular prostheses and cochlear implants. Coverage includes the initial purchase, fitting, or adjustment. Replacernent is covered only when Medically Necessary due to a change in bodily configuration. The initial prosthetic device following a covered mastectorny is also covered. Replacement of intraocular lenses is covered only if there is a change in prescription that cannot be accommodated by eyeglasses. All other prosthetic devices are not covered including prosthetic devices for Deluxe, Myo-electric and electronic prosthetic devices. The 27 A V-G100-2009 MP-5319 (10/09)