9 Clinical Trials .............................................................................................................................................40 Dental Services .........................................................................................................................................41 Preparing the Mouth for Medical Treatments ........................................................................................41 Treatment of Accidental Injury ...............................................................................................................41 Anesthesia and Hospital Charges for Dental Care................................................................................41 Diabetes Equipment, Education, and Supplies .........................................................................................41 Diagnostic Services ...................................................................................................................................42 Diagnostic Laboratory and Pathology Services.....................................................................................42 Diagnostic Imaging Services and Electronic Diagnostic Tests..............................................................42 Advanced Imaging Services ..................................................................................................................42 Dialysis ......................................................................................................................................................42 Durable Medical Equipment (DME), Medical Devices, and Supplies....................................................43 Orthotics.................................................................................................................................................43 Prosthetics .............................................................................................................................................43 Prosthetic Limbs & Orthotic Custom Fabricated Brace or Support .......................................................44 Medical and Surgical Supplies...............................................................................................................44 Blood and Blood Products .....................................................................................................................44 Emergency Care Services.........................................................................................................................44 Emergency Services..............................................................................................................................45 Habilitative Services ..................................................................................................................................46 Home Health Care Services......................................................................................................................46 Home Infusion Therapy .............................................................................................................................46 Hospice Care.............................................................................................................................................46 Human Organ and Tissue Transplant (Bone Marrow / Stem Cell) Services, Cellular and Gene Therapy Services.....................................................................................................................................................47 Prior Approval and Precertification............................................................................................................48 Inpatient Services ......................................................................................................................................49 Inpatient Hospital Care ..........................................................................................................................49 Inpatient Professional Services .............................................................................................................50 Maternity and Reproductive Health Services ............................................................................................50 Maternity Services .................................................................................................................................50 Contraceptive Benefits ..............................................................................................................................51 Sterilization Services .................................................................................................................................51 Infertility Services ......................................................................................................................................51 Mental Health and Substance Use Disorder Services ..............................................................................51 Occupational Therapy ...............................................................................................................................52 Office and Home Visits..............................................................................................................................52 Orthotics ....................................................................................................................................................53 Outpatient Facility Services.......................................................................................................................53 Physical Therapy .......................................................................................................................................53 Preventive Care.........................................................................................................................................53 Preventive Care for Chronic Conditions (per IRS guidelines)...................................................................55 Prosthetics.................................................................................................................................................55 Pulmonary Therapy ...................................................................................................................................55 Radiation Therapy .....................................................................................................................................55 Rehabilitation Services..............................................................................................................................55 Respiratory Therapy ..................................................................................................................................55 Skilled Nursing Facility ..............................................................................................................................55 Smoking Cessation....................................................................................................................................56 Speech Therapy ........................................................................................................................................56 Surgery ......................................................................................................................................................56 Oral Surgery...........................................................................................................................................56 Reconstructive Surgery..........................................................................................................................57 Temporomandibular Joint (TMJ) and Craniomandibular Joint Services ...................................................57 Therapy Services.......................................................................................................................................57 Physical Medicine Therapy Services .....................................................................................................57