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Retiree Medical, Prescription Drug and Mental Health and Substance Abuse Programs - Moore Wallace   
How the Retiree Group Health Program Works
What Is an Expense That May Be a Covered Expense – Medical Program
Reproductive Services
Family planning – office visits – services for testing and counseling.
Home delivery services – provided in conjunction with the delivery of a child or children in the home setting. Such services must be provided by an appropriately licensed and certified midwife and must be provided under the direct supervision of a physician who is acting within the scope of his or her license (as permitted by law).
Hospital facility or birthing center services – covered charges include:
 | Charges for hospital room and board and ancillary supplies for the covered individual who would have been eligible had the confinement been for a sickness or injury;
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| Physician fees for prenatal care, for the delivery of the child(ren), or for dilation and curettage (in the case of a miscarriage); and
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| Physician fees to administer an anesthetic. |
Infertility diagnosis – services provided to diagnose conditions related to fertility, including:
| Testing and treatment services performed in connection with an underlying medical condition; and
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| Treatment and/or procedures performed specifically to restore fertility (e.g., procedures to correct an infertility condition). |
Prenatal physician office visits, delivery, and postnatal visits – diagnostic services, pre- and postnatal visits, and delivery services. Such services may include those provided by a licensed and certified midwife who is working under the direct supervision of a physician (as permitted by state law).
Surgical sterilization procedures for vasectomy/tubal ligations – sterilization surgeries for men or women.
Voluntary pregnancy termination – services provided by an appropriately licensed physician to terminate a pregnancy.
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