75. Sex Therapy. 76. Sexual Function: Non-surgical and surgical procedures and Prescription drugs (unless covered under the Prescription Drug Benefits section of this SPD) in connection with treatment for male or female impotence. 77. Standby Surgeon Charges. 78. Subrogation. Charges for an Illness or Injury suffered by a Covered Person due to the action or inaction of any third party if the Covered Person fails to provide information as specified in the Right of Subrogation, Reimbursement, and Offset section. See the Right of Subrogation, Reimbursement, and Offset section for more information. 79. Surrogate Parenting and Gestational Carrier Services, including any services or supplies provided in connection with a surrogate parent, including pregnancy and maternity charges Incurred by a Covered Person acting as a surrogate parent. 80. Taxes: Sales taxes and shipping and handling charges, unless covered elsewhere in this SPD. 81. Telehealth. Consultations made by a Covered Person’s treating Physician to another Physician. 82. Tobacco Addiction: Diagnoses, services, treatment, or supplies related to addiction to or dependency on nicotine, unless covered elsewhere in this SPD. 83. Transportation: Transportation services that are solely for the convenience of the Covered Person, the Covered Person's Close Relative, or the Covered Person's Physician. 84. Travel: Travel costs, unless covered elsewhere in this SPD. 85. Vision Care, unless covered elsewhere in this SPD. 86. Vitamins, Minerals, and Supplements, even if prescribed by a Physician, except for Vitamin B-12 injections and IV iron therapy that are prescribed by a Physician for Medically Necessary purposes. 87. Vocational Services: Vocational and educational services rendered primarily for training or education purposes. This Plan also excludes work hardening, work conditioning, and industrial rehabilitation services rendered for Injury prevention education or return-to-work programs. 88. Weekend Admissions to Hospital confinement (admissions taking place after 3:00 pm on Fridays or before noon on Sundays) unless the admission is deemed an Emergency or is for care related to pregnancy that is expected to result in childbirth. 89. Weight Control: Treatment, services, or surgery for weight control, whether or not prescribed by a Physician or associated with an Illness, except as specifically stated for preventive counseling. This exclusion does not apply to specific services for Morbid Obesity as listed in the Covered Medical Benefits section of this SPD. 90. Wigs (Cranial Prostheses), Toupees, Hairpieces, Hair Implants or Transplants, or Hair Weaving, or any similar item for replacement of hair regardless of the cause of hair loss, unless covered elsewhere in this SPD. -95- 7670-00-413597