Care and/or treatment by a Christian Science Practitioner. Completion of claim forms. [Preventive contraceptive services and supplies that are or by the United rated “A” “B” States Preventive Services Task Force shall be excluded from this Policy if the Policyholder is a Religious Employer or and Eligible Organization as defined under 45 C.F.R. 147.131, as amended] Services or supplies related to Cosmetic Surgery, except as otherwise stated in this Contract; complications of Cosmetic Surgery; drugs prescribed for cosmetic purposes. Services related to custodial or domiciliary care. Dental care or treatment, including appliances and dental implants, except as otherwise stated in this Contract. Care or treatment by means of dose intensive chemotherapy, except as otherwise stated in this Contract. Services or supplies, the primary purpose of which is educational providing the [Member] with any of the following: training in the activities of daily living; instruction in scholastic skills such as reading and writing; preparation for an occupation; or treatment for learning disabilities except as otherwise stated in this Contract. Experimental or Investigational treatments, procedures, hospitalizations, drugs, biological products or medical devices, except as otherwise stated in this Contract. Extraction of teeth, except for bony impacted teeth except as otherwise covered under this Contract. Services or supplies for or in connection with: a. except as otherwise stated in this Contract, exams to determine the need for (or changes of) or lenses of any type; eyeglasses b. eyeglasses or lenses of any type except initial replacements for loss of the natural lens or as otherwise covered under this Contract; or c. eye surgery such as radial keratotomy or lasik surgery, when the primary purpose is to correct myopia (nearsightedness), hyperopia (farsightedness) or astigmatism (blurring). Services or supplies provided by one of the following [members] of the Employee's spouse, child, parent, in-law, brother, sister or grandparent. family: Services or supplies furnished in connection with any procedures to enhance fertility which involve harvesting, storage and / or manipulation of eggs and sperm. This
Care and/or treatment by a Christian Science Practitioner. Completion of claim forms. [Preventive contraceptive services and supplies that are rated “A” or “B” by the United States Preventive Services Task Force shall be excluded from this Policy if the Policyholder is a Religious Employer or and Eligible Organization as defined under 45 C.F.R. 147.131, as amended] Services or supplies related to Cosmetic Surgery, except as otherwise stated in this Contract; complications of Cosmetic Surgery; drugs prescribed for cosmetic purposes. Services related to custodial or domiciliary care. Dental care or treatment, including appliances and dental implants, except as otherwise stated in this Contract. Care or treatment by means of dose intensive chemotherapy, except as otherwise stated in this Contract. Services or supplies, the primary purpose of which is educational providing the [Member] with any of the following: training in the activities of daily living; instruction in scholastic skills such as reading and writing; preparation for an occupation; or treatment for learning disabilities except as otherwise stated in this Contract. Experimental or Investigational treatments, procedures, hospitalizations, drugs, biological products or medical devices, except as otherwise stated in this Contract. Extraction of teeth, except for bony impacted teeth except as otherwise covered under this Contract. Services or supplies for or in connection with: a. except as otherwise stated in this Contract, exams to determine the need for (or changes of) eyeglasses or lenses of any type; b. eyeglasses or lenses of any type except initial replacements for loss of the natural lens or as otherwise covered under this Contract; or c. eye surgery such as radial keratotomy or lasik surgery, when the primary purpose is to correct myopia (nearsightedness), hyperopia (farsightedness) or astigmatism (blurring). Services or supplies provided by one of the following [members] of the Employee's family: spouse, child, parent, in-law, brother, sister or grandparent. Services or supplies furnished in connection with any procedures to enhance fertility which involve harvesting, storage and / or manipulation of eggs and sperm. This