52 Subst ance Abuse Treatment The Facility, Practitioner, and Medical Support Charges that are incurred for the treatment of alcoholism, drug or chemical dependence are covered medical charges under the terms of the Plan, provided each element meets all the require ments of the definition of covered medical charge, as well as the Substance Abuse Treatment Services definition. No charges, other than those listed above, for treatment of alcoholism, drug, or chemical dependence are covered medical charges under this Pla n. Charges for Substance Abuse Treatment Services will be covered only if the treatment of the cove red individual is provided by a Hospital, a Substance Abuse Residential Treatment Center, a physician, a psychologist holding a Master or Doctorate in Psycho logy, or another similarly degreed practitioner legally licensed to provide Substance Abuse Treatment by the state in which he or she practices. Coverage of these services is provided under the Plan for both inpatient and outpatient Substance Abuse Treatm ent Services, including both detoxification and rehabilitation. Covered services also may include inpatient care at a Substance Abuse Residential Treatment Center, Partial Hospitalization and Intensive Outpatient Therapy programs. The Plan does not cover d iagnoses such as learning, behavioral and developmental disorders under this benefit or any other b enefit. Neither does the Plan cover therapies such as art, music, drama, and re creational under this benefit. TMJ Treatment TMJ stands for temporomandibular joint. The term TMJ disorder means a disorder, disease, or dysfunction of the TMJ, regardless of t he diagnosis. Charges for medically necessary surgical and non - surgical treatment of a TMJ disorder that are not covered by a dental plan are payable on the same basis as charges for an illness, except that benefits are limited to $600 per calendar year.
2018 BTF Plan C Page 56 Page 58