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9.20.04 Shorter Hospital stays are permitted if the attending health care provider, in consultation with the mother, determines that to be the best course of action. Coverage for maternity care is subject to applicable Co-payments and all other Plan limits and requirements. Ortbotic appliances. Coverage for orthotic appliances is limited to custom-made leg, arm, back and neck braces when related to a surgical procedure or when used in an attempt to avoid surgery and when necessary to carry out normal activities of daily living, excluding sports activities. Coverage includes the initial purchase, fitting or adjustment. Replacements are covered only when Medically Necessary due to a change in bodily configuration. All other orthotic appliances are not covered. The deteonination of whether a covered item will be paid under the DME, orthotics or prosthetics benefits will be based npon its classification as defined by the Centers for Medicare and Medicaid Services. See Schedule of Benefits for any Co-payments or Limitations. See Part XI for Exclusions. Osteoporosis diagnosis and treatment when Medically Necessary for high-risk individuals, e.g. estrogen-deficient individuals, individuals with vertebral abnormalities, individuals on long-term glucocorticoid (steroid) therapy, individuals with primary hyperparathyroidism, and individnals with a family history of osteoporosis. Other Health Care Facility(ies). All routine services of Other Health Care Facilities (see Section 2.40), including physician visits, physiotherapy, diagnostic imaging and laboratory work, are covered for a maximum of 20 days per calendar year when a Member is admitted to such a facility, following discharge from a Hospital, for a condition that cannot be adequately treated with Skilled Home Health Care Services or on an ambulatory basis. 9.24 Outpatient therapeutic services. Covered health services for therapeutic treatments received on an outpatient basis in your home, physician's office, Other Health Care Facility or Hospital, including intravenous chemotherapy or other intravenous infusion therapy and Injectable Medications. Self- Administered Injectable Medications are only a covered benefit when included in the supplemental prescription medication benefits. See Section 11.29. 9.21 9.22 9.23 ) ) -} 9.25 Physician earc: inpatient. All Medical Services rendered by physicians and other Health Professionals when requested or directed by the Attending Physician, including surgical procedures, anesthesia, consultation and treatment by Specialty Health Care Physicians, laboratory and diagnostic imaging services, and physical therapy (See Section 9.28) are covered while the Member is admitted to a Participating Hospital as a registered bed patient. When available and requested by the Member, AvMed covers the services of a certified nurse anesthetist licensed under Chapter 464, Florida Statutes. 9.26 Physician care: outpatient 9.26.01 9.26.02 Diagnosis and treatment. All Medical Services rendered by physicians and other Health Professionals are covered when Medically Necessary and when provided at Medical Offices, including surgical procedures, routine hearing examinations and vision examinations for glasses for children under age 18 (such examinations may be provided by optometrists licensed pursuant to Chapter 463, Florida Statutes or by ophthalmologists licensed pursuant to Chapter 458 or 459, Florida Statutes) and consultation and treatment by Specialty Health Care Physicians. Also included are non-reusable materials and surgical supplies. These services and materials are subject to the Limitations outlined in Part X (Limitations of Basic Benefits). See Part Xl for Exclusions. Preventive and health maintenance services. The services of the Member's physician for illness prevention and health maintenance, including child health supervision services and immunizations provided in accordance with prevailing medical standards consistent with the Recommendations for Preventive Pediatric Health Care of the American Academy of Pediatrics and/or the Advisory Conunittee on hmnunization Practices; periodic health assessment and physical examinations arc also covered. These services are subject to 29 A V-CHOlCE-2009 MP-5320 (10/09)