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Local professional air/ground ambulance transport for emergency services to the nearest emergency department appropriately staffed and equipped to treat a medical condition; Ground transportation to an alternative level of care when associated with an approved Hospital confinement; and Ground transportation to a Member's home will be covered when associated with an approved hospitalization or other confmement and the Member's condition requires the skill of medically trained personnel. Transportation is not covered when the skill of medically trained personnel is not required and the Member can be safely transferred (or transported) by other means. Air ambulance transportation is covered only when the point of pick-up is inaccessible by land or when distance or other obstacles are involved in transporting the Member to the nearest emergency department equipped to adequately treat the medical condition. 9.02 Cardiac rchabilitation. Cardiac rehabilitation is covered for the following conditions: acute myocardial infarction, percutaneous transluminal coronary angioplasty (pTCA), coronary artery bypass graft (CABG), repair or replacement of heart valves or heart transplant. Coverage is subject to a maximum number of visits per calendar year as outlined in the Schedule of Benefits. See Schedule of Benefits for detailed information regarding Co-payments and coverage Limitations. 9.01.01 9.01.02 9.01.03 9.01.04 ) ) , } 9.03 Coverage for cleft lip and cleft palate for Members under 18 years of age. The coverage provided by this Section is subject to the terms and conditions applicable to other benefits. 9.04 Dermatological services. AvMed will cover office visits to a dermatologist for Medically Necessary covered services subject to Sections 2.36 and 2.60. No prior referral is reqnired for these services. 9.05 Diabetes treatment includes all Medically Necessary equipment, supplies, and services to treat "diabetes. This includes outpatient self-management training and educational services, if the Member's physician certifies the equipment, supplies or services are Medically Necessary. Insulin pumps are covered under Subsection 9.10.05. Diabetes outpatient self-management training and educational services must be provided under the direct supervision of a certified diabetes educator or a board certified endocrinologist. In accordance with Florida Statutes, coverage of insulin pumps for the treatment of diabetes will not apply toward or be subject to the annual DME maximum Limitation. See also 9.06. ) 9.06 Diabetic supplies. Insulin, insulin syringes, lancets, and test strips are covered under the Subscribing Group's supplemental prescription medication benefits. In the event that a Snbscribing Gronp does not purchase supplemental prescription medication benefits, insulin, insulin syringes, lancets, and test strips are covered subject to a 30% Co-insurance per item for a 30-day supply. See also 9.05. 9.07 Diagnosis and treatment of Autism Spectrum Disorder through speech therapy, occnpational therapy, physical therapy, and Applied Behavior Analysis services for an individual under 18 years of age or an individual 18 years of age or older who is in high school who has been diagnosed as having a developmental disability at 8 years of age or younger. 9.07.01 9.07.02 A V-CHOICE-2009 MP-S320 (10/09) Coverage shall be limited to services that are prescribed by the treating physician in accordance with a treatment plan. The treatment plan required shall include, but is not limited to, a diagnosis, the proposed treatment by type, the frequency and duration of treatment, the anticipated outcomes stated as goals, the frequency with which the treatment plan will be updated, and the signature of the treating physician. Coverage for these services shall be limited to $36,000 annually and may not exceed $200,000 in total benefits. Coverage is subject to applicable Co-payments and coverage Limitations as set forth in the Schedule of Benefits. 25