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Testing the abilities - Regence BlueShield

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<strong>Regence</strong> RealValue<br />

Exclusions<br />

• Acupuncture<br />

• Chemical Dependency<br />

• Detoxification<br />

• Dialysis<br />

• Discretionary Surgery<br />

• Durable Medical Equipment, except for life saving equipment and insulin pump and pump supplies<br />

• Family Planning<br />

• Home Health<br />

• Immunizations if <strong>the</strong> Insured receives <strong>the</strong>m only for purposes of travel, occupation or residency in a<br />

foreign country.<br />

• Maternity (and Complications)<br />

• Neurodevelopmental Therapy<br />

• Orthotics (except for Diabetic)<br />

• Pro<strong>the</strong>ses<br />

• Routine Eye Exam and Hardware<br />

• Telemedicine<br />

• Spinal Manipulations<br />

• Termination of Pregnancy<br />

© 2012 <strong>Regence</strong>. Private and Confidential.<br />

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