2023 Archdiocese of Atlanta Meritain Group Plan Doc - Manual / Resource - Page 61
Transplant coverage is limited to those transplants that are medically recognized and are nonExperimental/Investigational in nature. Transplants contrary to Church Doctrine are not considered eligible
expenses.
See the Aetna Institute of Excellence (IOE) Program section of the Medical Plan with respect to coverage for
transplants received through the Aetna IOE Program.
Eligible expenses will be payable as shown in the Medical Schedule of Benefits. Exclusions:
(a)
Non-human and artificial organ transplants.
(b)
The purchase price of any of bone marrow, organ, tissue or any similar items which are sold rather
than donated.
(c)
Transplants which are not medically recognized and are Experimental and/or Investigational in nature.
(d)
Transplants contrary to Church Doctrine are not considered eligible expenses.
(58) Urgent Care Facility: Services and supplies provided by an Urgent Care Facility. Eligible expenses will be
payable as shown in the Medical Schedule of Benefits.
(59) Well Child Care (POS Provider Only): Routine well child care up to age 19, including, but not limited to,
vaccinations and immunizations, routine office visits, developmental assessments, and related laboratory
tests and x-rays. Eligible expenses will be payable as shown in the Medical Schedule of Benefits.
(60) Wigs: Purchase of a scalp hair prosthesis when necessitated by hair loss due to chemotherapy or radiation.
Eligible expenses will be payable as shown in the Medical Schedule of Benefits.
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