51 Routine Newborn Care The charges that are listed below for routine care of a newborn at the time of delivery are covered medical benefits under the terms of the Plan, and are payable on the same basis as an illness. • Charges of an Acute Care Hospital for routine nursery care furnished to a newborn well baby at the time of birth. • Charges of a physician or Allied Health Professional for one routine examination of a newborn well baby performed each day before the child is released from nursery care. Second Surgical Opinion Charge s for a second surgical opinion are paid on the same basis as charges for an illness. Charges for a third surgical opinion also will be covered if the first and second opinions do n ot confirm that the surgery is medically necessary. Short - Term Rehabilitati ve Therapy Short - term rehabilitative therapy that is part of a rehabilitation program, including physical, speech, occupational, cognitive, osteopathic manipulative, cardiac rehabil itation, and pulmonary rehabilitation therapy is covered subject to the fol lowing limitations: • To be covered all therapy services must be restorative in nature. Restorative therapy services are services that are designed to restore levels of function that had previously existed but that have been lost as a result of injury or ill ness. Restorative therapy services do not include therapy designed to acquire levels of function that had not been previously achieved prior to the injury or illness. • Services are n ot covered if they are custodial, training, educational or developmental in nature. • Occupational therapy is provided only for purposes of enabling persons to perform the activities of daily living after an illness, injury, or sickness. Short - term rehabilit ative therapy services that are not covered include, but are not limited to : • Sensory integration therapy, group therapy; treatment of dyslexia, behavior modification or myofunctional therapy for dysfluency, such as stuttering or other involuntary acted con ditions without evidence of an underlying medical condition or neurological disorder; • Treatment for functional articulation disorder such as correction of tongue thrust, lisp, verbal apraxia or swallowing dysfunction that is not based on an underlying diagnosed medical condition or injury ; and • Maintenance or preventive treatment consisting of routine, long term or non - medically necessary care provided to prevent recurrence, or to maintain the current status of the individual. If multiple outpatient services are provided on the same day, the visi ts will be treated as a single visit. Chiropractic treatment is not covered under the rehabilitati ve therapy benefits. See the section on Chiropractic Care for information about Chiropractic treatment and limits. The Plan does not cover physical, speech , occupational, cognitive, osteopathic manipulative, cardiac rehabilitation, or pulmonary rehabilitation therapy except for the short - term treatment of an acute condition. There are no such benefits for chronic conditions, developmental problems, health cl ub memberships, recreational or exercise programs, even when recommended by a physician . Limit on Number of Days : The Plan will not pay more than 50 days of short - term rehabilitative therapy for all combined types of therapy in any one calendar year.

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