Experimental or Investigational (Experimental / Investigational) Any Drug, biologic, device, Diagnostic, product, equipment, procedure, treatment, service, or supply used in or directly related to the diagnosis, evaluation, or treatment of a disease, injury, illness, or other health condition which We determine to be unproven. For how this is determined, see the “What’s Not Covered” section. Facility A facility including but not limited to, a Hospital, freestanding Ambulatory Surgery Center, Residential Treatment Center, or Skilled Nursing Facility, as defined in this Booklet. The Facility must be licensed as required by law, satisfy our accreditation requirements, and be approved by us. Fee(s) The amount you must pay to be covered by this Plan. Home Health Care Agency A Provider licensed when required by law and approved by us, that: 1. Gives skilled nursing and other services on a visiting basis in your home; and 2. Supervises the delivery of services under a plan prescribed and approved in writing by the attending Doctor. Hospice A Provider that gives care to terminally ill patients and their families, either directly or on a consulting basis with the patient’s Doctor. It must be licensed by the appropriate agency. Hospital A facility licensed as a Hospital as required by law that must satisfy our accreditation requirements and be approved by us. The term Hospital does not include a Provider, or that part of a Provider, used mainly for: 1. Nursing care 2. Rest care 3. Convalescent care 4. Care of the aged 5. Custodial Care 6. Educational care 7. Subacute care Identification Card (ID Card) The card given to you that showing your Member identification, group numbers, and the Plan you have. 118