2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 70
(63) Vision Care: Expenses for vision care, including professional services for the fitting and/or supply of lenses,
frames, contact lenses and other fabricated optical devices will not be considered eligible, except routine eye
exams as specified under Eligible Medical Expenses. However, benefits will be provided for initial eyeglass
frames and lenses (or one pair of contact lenses) following cataract surgery that implants an Intra Ocular
Lens (IOL), if necessary. This does not apply to aphakic patient and soft lenses or sclera shells intended for
use as corneal bandages.
(64) Vitamins: Expenses for vitamins, minerals and food supplements will not be considered eligible, except as
prescribed by a Physician.
(65) Vocational Testing: Expenses for vocational testing or training will not be considered eligible.
(66) Wage or Profit: Expenses for or in connection with any Injury or Illness which arises out of or in the course
of any occupation for wage or profit (including self-employment) will not be considered eligible.
(67) War: Expenses for the treatment of Illness or Injury resulting from a war or any act of war or terrorism, whether
declared or undeclared, civil war, hostilities or invasion, or while in the armed forces of any country or
international organization will not be considered eligible.
(68) Weekend Admissions: Expenses for care and treatment billed by a Hospital for non-Medical Emergency
admissions on a Friday or Saturday will not be considered eligible, unless Surgery is scheduled within 24
hours.
(69) Workers’ Compensation: Expenses for or in connection with any Injury or Illness which arises out of or in
the course of any occupation for which the Covered Person would be entitled to compensation under any
Workers’ Compensation Law or occupational disease law or similar legislation will not be considered eligible.
Expenses for Injuries or Illness which were eligible for payment under Workers’ Compensation or similar law
and have reached the maximum reimbursement paid under Workers’ Compensation or similar law will not be
eligible for payment under this Medical Plan.
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