66 5) Adaptive Behavioral Treatment (including, but not limited to, Applied Behavior Analysis ) for all indications except as described under Autism Services in the “What’s Covered” section unless otherwise required by law. 6) Autopsies Autopsies and post - mortem testing. 7) Before Effective Date or After Termination Date Charges for care you get before your Effective Date or after your coverage ends, except as written in this Plan. 8) Certain Providers Service you get from Providers that are not licensed by law to provide Covered Services as defined in this Booklet. Examples include, but are not limited to, masseurs or masseuses (massage therapists), and physical therapist technicians. 9) Charges Not Supported by Medical Records Charges for services not described in your medical records. 10) Charges Over the Maximum Allowed Amount Charges over the Maximum Allowed Amount for Covered Services except for Surprise Billing Claims as outlined in the “ Consolidated Appropriations Act of 2021 Notice” in the front of this Booklet . 11) Chats or Texts Chats and texting are not a Covered Service unless appropriately provided via a secure and compliant application, according to applicable legal requirements. 12) Clinical Trial Non - Covered Services Any Investigational drugs or devices, non - health services required for you to receive the treatment, the costs of managing the research, or costs that would not be a Covered Service under this Plan for non - Investigational treatments. 13) Clinically - Equivalent Alternatives Certain Prescription Drugs may not be covered if you could use a clinically equivalent Drug, unless required by law. “Clinically equivalent” means Drugs that for most Members, will give you similar results for a disease or condition. If you have questio ns about whether a certain Drug is covered and which Drugs fall into this group, please call the number on the back of your Identification Card, or visit our website at www.anthem.com . 14) Complications of/or Services Related to Non - Covered Services Services, supplies, or treatment related to or, for problems directly related to a service that is not covered by this Plan. Directly related means that the care took place as a direct result of the non - Covered Service and would not have taken place withou t the non - Covered Service. 15) Compound Ingredients Compound ingredients that are not FDA approved or do not require a prescription to dispense, and the compound medication is not essentially the same as an FDA - approved product from a drug manufacturer. Exceptions to non - FDA approved compound ingredients may include multi - source, non - proprietary vehicles and/or p harmaceutical adjuvants. 16) Cosmetic Services Treatments, services, Prescription Drugs, equipment , or supplies given for cosmetic services. Cosmetic services are meant to preserve, change , or improve how you look or are given for social reasons. No benefits are available for surgery or treatments to change the texture or look of your skin or to change the size, shape or look of facial or body features (such as your nose, eyes, ears, cheeks , chin, chest or breasts) . This Exclusion does not apply to reconstructive surgery for breast symmetry after a mastectomy and surgery to correct birth defects and birth abnormalities. 17) Court Ordered Testing Court ordered testing or care unless Medically Necessary. 18) Crime Treatment of an injury or illness that results from a crime you committed, or tried to commit. This Exclusion does not apply if your involvement in the crime was solely the result of a medical or mental condition, or where you were the victim of a crime, including domestic violence. 19) Cryopreservation Charges associated with the cryopreservation of eggs, embryos, or sperm, including collection, storage, and thawing. 20) Custodial Care Custodial Care, convalescent care or rest cures. This Exclusion does not apply to Hospice services.