47 − Anesthesiology, subject to the surgery guidelines shown below. Surgery Guidelines: (a) If two or more surgical procedures are performed at the same time, the covered medical charges will be limited to those incurred for the major procedure plus 50% of those incurred for each lesser procedure that adds significant time or complexity; (b) the covered medical charges for performing surgery includes normal follow-up care and the administration of any local, digital block, or topical anesthesia; and (c) reduced benefits may be paid for the administration of other anesthetics if done by the operating or assisting surgeon. • Charges of a physician for a diagnostic laboratory test or x-ray examination. Laboratory charges are also covered as part of a wellness program. Obesity screening is covered when completed by a physician, or as part of a wellness program. • Pathology and radiology interpretation. • Charges of a physician for casts, splints, surgical dressings, and other medical supplies. • Charges for the professional services of a Nurse for private duty nursing, but only during a period for which there is a physician’s certification that is validated by the Claims Administrator. − Private duty nursing services must be Medically Necessary under the terms of the Plan; and − Outpatient private duty nursing charges are covered only when the participant would otherwise need to be an inpatient at an Acute Care Hospital. Medical Support Charges These charges are classified as medical support charges. They are subject to any applicable limit shown in the section that covers “Areas of Limited Coverage.” 1. Charges from a professional ambulance service for transportation to or from a local Acute Care hospital or skilled nursing facility where the covered individual receives (or received) treatment. 2. Charges for non-experimental and Medically Necessary internal prosthetics and/or medical appliances that provide permanent or temporary internal functional support for nonfunctional body parts. Medically Necessary repair, maintenance or replacement of a covered internal appliance is also covered. 3. Charges for the initial purchase and fitting of non-experimental, Medically Necessary external prosthetic and orthotic appliances or devices, but only if ordered or prescribed by a physician when necessary for the alleviation or correction of an illness, injury, or congenital defect. This includes prostheses/prosthetic appliances and devices, orthoses/orthotic devices, braces and splints. Prostheses/prosthetic devices are defined as fabricated replacements for missing body parts, and include, but are not limited to, basic limb prostheses, terminal devices such as a hand or hook, and speech prostheses. Orthoses/orthotic devices are defined as orthopedic appliances and apparatus used to support, align, prevent or correct deformities. After a reasonable period of time, payment for replacement or repair of the prosthetic device may be authorized if determined to be Medically Necessary. Note: Repair and replacement that result from a person’s misuse are not covered. See the Podiatry Care benefit below for information about coverage for foot related orthotics. 4. Charges made for the purchase or rental of Durable Medical Equipment that is ordered or prescribed by a physician up to the purchase price of standard equipment (Durable Medical Equipment may be purchased if less expensive than rental, if accompanied by documentation from the physician