9. Breast Reductions if Medically Necessary. 10. Breastfeeding Support, Supplies, and Counseling in conjunction with each birth. The Plan also covers comprehensive lactation support and counseling by a trained provider during pregnancy and in the postpartum period. 11. Cardiac Pulmonary Rehabilitation when Medically Necessary when needed as a result of an Illness or Injury. 12. Cardiac Rehabilitation programs are covered when Medically Necessary, if referred by a Physician, for patients who have certain cardiac conditions. Covered services include: • Phase I cardiac rehabilitation, while the Covered Person is an Inpatient. • Phase II cardiac rehabilitation, while the Covered Person is in a Physician-supervised Outpatient, monitored, low-intensity exercise program. Services generally will be in a Hospital rehabilitation facility and include monitoring of the Covered Person’s heart rate and rhythm, blood pressure, and symptoms by a health professional. Phase II generally begins within 30 days after discharge from the Hospital. 13. Cataract or Aphakia Surgery as well as surgically implanted conventional intraocular cataract lenses following such a procedure. Multifocal intraocular lenses are not allowable. Eye refractions and one set of contact lenses or glasses (frames and lenses) after cataract surgery are also covered. 14. Circumcision and related expenses when care and treatment meet the definition of Medical Necessity. Circumcision of newborn males is also covered as stated under nursery and newborn medical benefits. 15. Cleft Palate and Cleft Lip, benefits will be provided for initial and staged reconstruction of cleft palate or cleft lip. Such coverage includes Medically Necessary oral surgery and pre-graft palatal expander. 16. Contraceptives and Counseling: All Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling. This Plan provides benefits for Prescription contraceptives, regardless of purpose. Prescription contraceptives that require that a Physician administer a hormone shot or insert a device will be processed under the Covered Medical Benefits in this SPD. 17. Cornea Transplants are payable at the percentage listed under “All Other Covered Expenses” on the Schedule of Benefits. 18. Dental Services include: • The care and treatment of natural teeth and gums if an Injury is sustained in an Accident (other than one occurring while eating or chewing), or for treatment of cleft palate, including implants. Treatment must be completed within 12 months of the Injury except when medical and/or dental conditions preclude completion of treatment within this time period. • Inpatient or Outpatient Hospital charges, including professional services for X-rays, laboratory services, and anesthesia while in the Hospital, if Medically Necessary. • Removal of all teeth at an Inpatient or Outpatient Hospital or dentist's office if removal of the teeth is part of standard medical treatment that is required before the Covered Person can undergo radiation therapy for a covered medical condition. 19. Diabetes Treatment: Charges Incurred for the treatment of diabetes and diabetic self- management education programs, diabetic shoes and nutritional counseling. -58- 7670-00-413597