- cuverage for new enrollees confinedV to,au hos~u'H.s, There,shall~be no <br />` ~1 on effective date of <br />coverage or ~ serv~ces ~ncurred prior to e~ <br />~ : .. - <br />yive date of coverage. <br />. ' . ; <br />18. -There•shall:be no.payment for. any medical charges made for. non-a r <br />or experimental- procedures. Pp oved <br />~ ~ , <br />; 19. <br />Congen~tal' deformities.{except as provided newborns under Section 2 <br />20. Pa - . . ) • <br />yment shall .not be made for med~cal:.expenses for care of athletic <br />injuries above the n~inth grade level covered by insurance in which the <br />school has participated in the <br />there are char es~ : Premium payment; However, in the event <br />9 remaining_ after full application of athletic <br />insurance benefits; the benefits of this agreement shall apply. <br />21. Benefits fon mental diseases,; mental retardation or <br />•:disorders shelT`be`limited to a.payment-for..a personality <br />days' hospital confinement in a licensed Period not to exceed 30 <br />is made to doctors for psychiatric treatmentneral hospital. No payment <br />22. Tranquilizers pP ~ - <br />, food su lements, v~tami.ns and other pharmaceutical <br />items, <br />23. Routine foot care such. as treatment of corns, caltuses <br />routine hygienic care of the feet, . toenails, or <br />24. Services and supplies.for fallen arches or other s <br />of the feet or impression casting for prosthet cts mandc appjiances <br />including the prescription needed to make them." <br />25.. Services and suppl~ies for obesity or weight reduction <br />26. Any loss sustained or contracted in consequence of the in <br />intoxicated or under the~influence o.f any controlled substancesunless <br />administered on the advice of a physician. ~ <br />27• Any condition for `which treatment is excTuded or li ' <br />restriction form signed by.member, m~ted on the <br />28. Services, treatment-, medical attention or care which a membe <br />after his or her termination date. -' received <br />29. No benefits will be provided for surgery to correct or red <br />uce myopia. <br />30. No benefits will be provided for;the following conditions for a <br />twelve months from your date of enrol.lment: allergies, rem v ledof <br />tonsils or adenoids (with' or without myringotomy), otitis media, <br />alcoholism, sterilization procedures, elective procedures <br />procedures that can be easil p (those <br />otherwise covered, or a y Post oned for a period of time) that are <br />_ pre-existing condition not listed on your <br />10 <br />(30) 1/87 <br />