Cosmetic Services. This plan does not cover services and supplies for cosmetic services, including but not limited to: Services performed to reshape normal structures of the body in order to improve or alter your appearance and self-esteem and not primarily to restore an impaired function of the body Genital surgery for the purpose of changing genital appearance Breast mastectomy or augmentation with or without chest reconstruction for the purpose of changing breast appearance The only exceptions to this exclusion are: Repair of a defect that is the direct result of an injury, see Surgery Services Repair of a dependent child’s congenital anomaly, see Surgery Services Reconstructive breast surgery in connection with a mastectomy, except as stated under Mastectomy and Breast Reconstruction Services Correction of functional disorders, see Surgery Services Counseling, Education or Training This plan does not cover counseling or training in the absence of illness, job help and outreach, social or fitness counseling or training.
Appears in 11 contracts
Samples: Other Covered Services, www.premera.com, www.premera.com
Cosmetic Services. This plan does not cover services and supplies for cosmetic services, including but not limited to: • Services performed to reshape normal structures of the body in order to improve or alter your appearance and self-esteem and not primarily to restore an impaired function of the body • Genital surgery for the purpose of changing genital appearance • Breast mastectomy or augmentation with or without chest reconstruction for the purpose of changing breast appearance The only exceptions to this exclusion are: • Repair of a defect that is the direct result of an injury, see Surgery Services • Repair of a dependent child’s congenital anomaly, see Surgery Services • Reconstructive breast surgery in connection with a mastectomy, except as stated under Mastectomy and Breast Reconstruction Services • Correction of functional disorders, see Surgery Services Counseling, Education or Training This plan does not cover counseling or training in the absence of illness, job help and outreach, social or fitness counseling or training.
Appears in 9 contracts
Samples: www.lifewisewa.com, www.premera.com, www.premera.com