59 Radiation Therapy Please see “Therapy Services” later in this section. Rehabilitation Services Benefits include services in a Hospital , free - standing Facility, Skilled Nursing Facility, or in an outpatient day rehabilitation program. Covered Services involve a coordinated team approach and several types of treatment, including skilled nursing care, physical, occupational, and speech therapy, and services of a social worker or psychologist. To be Covered Services, rehabilitation services must involve goals you can reach in a reasonable period of time. Benefits will end when treatment is no longer Medically Necessary and you stop progressing toward those goals. Respiratory Therapy Please see “Therapy Services” later in this section. Skilled Nursing Facility When you require Inpatient skilled nursing and related services for convalescent and rehabilitative care, Covered Services are available if the Facility is licensed or certified under state law as a Skilled Nursing Facility. Custodial Care is not a Covere d Service. Smoking Cessation Please see “Preventive Care” section in this booklet. Speech Therapy Please see “Therapy Services” later in this section. Surgery Your Plan covers surgical services on an Inpatient or outpatient basis, including office surgeries. Covered Services include: • Accepted operative and cutting procedures; • Other invasive procedures, such as angiogram, arteriogram, amniocentesis, tap or puncture of brain or spine; • Endoscopic exams, such as arthroscopy, bronchoscopy, colonoscopy, laparoscopy; • Treatment of fractures and dislocations; • Anesthesia (including services of a Certified Registered Nurse Anesthetist) and surgical support when Medically Necessary; • Medically Necessary pre - operative and post - operative care. Bariatric Surgery Covered Services include surgical treatment of morbid obesity:

2026 Anthem Certificate Plan A - Page 60 2026 Anthem Certificate Plan A Page 59 Page 61