LIMITATIONS OF COVERED MEDICAL SERVICES. In order to be covered, the Member’s Attending Physician must specifically prescribe such services and such services must be consequent to treatment of the cleft lip or cleft palate.
LIMITATIONS OF COVERED MEDICAL SERVICES. The rights of Members and obligations of Participating Providers hereunder are subject to the following Limitations:
LIMITATIONS OF COVERED MEDICAL SERVICES i. any artificial heart, mechanical device, or ventricular assist device (VAD) that replaces either the atrium or the ventricle;
LIMITATIONS OF COVERED MEDICAL SERVICES. No prior referral or authorization is required for the first five visits to a dermatologist in a 12- month period for a dermatological problem.
