73 e) Hypoallergenic pillows, mattresses, or waterbeds, f) Residential, auto, or place of business structural changes (ramps, lifts, elevator chairs, escalators, elevators, stair glides, emergency alert equipment, handrails), g) Consumer wearable / personal mobile devices (such as a smart phone, smart watch, or other personal tracking devices), including any software or applications. 61) Prescription Drugs Prescription Drugs received from a Retail or Home Delivery (Mail Order) Pharmacy. This Exclusion does not apply to Prescription Drugs used to treat diabetes. 62) Private Duty Nursing Private Duty Nursing Services given in a Hospital or Skilled Nursing Facility: Private Duty Nursing Services are a Covered Service only when given as part of the “Home Health Care Services” benefit. 63) Prosthetics Prosthetics for sports or cosmetic purposes. This exclusion does not apply to wigs needed after cancer treatment. 64) Residential accommodations Residential accommodations to treat medical or behavioral health conditions, except when provided in a Hospital, Hospice, Skilled Nursing Facility, or Residential Treatment Center. This Exclusion includes procedures, equipment, services, supplies or charges for the following: a) Domiciliary care provided in a residential institution, treatment center, halfway house, or school because a Member’s own home arrangements are not available or are unsuitable, and consisting chiefly of room and board, even if therapy is included. b) Care provided or billed by a hotel, health resort, convalescent home, rest home, nursing home or other extended care facility home for the aged, infirmary, school infirmary, institution providing education in special environments, supervised living or halfway house, or any similar facility or institution. c) Services or care provided or billed by a school, Custodial Care center for the developmentally disabled, or outward-bound programs, even if psychotherapy is included. d) Services or care billed by a program or facility that principally or primarily provides services for individuals with a medical or Mental Health or Substance Use Disorder diagnosis or condition in an outdoor environment, including wilderness, adventure, outdoor programs or camps. 65) Routine Physicals and Immunizations Physical exams and immunizations required for travel, enrollment in any insurance program, as a condition of employment, for licensing, sports programs, or for other purposes, which are not required by law under the “Preventive Care” benefit. 66) Services Not Appropriate for Virtual Telemedicine / Telehealth Visits Services that Anthem determines require in-person contact and/or equipment that cannot be provided remotely. 67) Stand-By Charges Stand-by charges of a Doctor or other Provider. 68) Sterilization Services to reverse an elective sterilization. 69) Surrogate Services Services or supplies for a person not covered under this Plan for a surrogate pregnancy (including, but not limited to, the bearing of a child by another woman for an infertile couple). 70) Temporomandibular Joint Treatment Fixed or removable appliances which move or reposition the teeth, fillings, or prosthetics (crowns, bridges, dentures). 71) Travel Costs Mileage, lodging, meals, and other Member-related travel costs except as described in this Plan. 72) Vein Treatment Treatment of varicose veins or telangiectatic dermal veins (spider veins) by any method (including sclerotherapy or other surgeries) for cosmetic purposes. 73) Vision Services Vision services not described as Covered Services in this Booklet.