10324
This health plan also covers outpatient private duty nursing furnished by a registered nurse (RN) or licensed practical nurse (LPN) when it is medically necessary for the member's condition.
Note: The benefit limit described above does not apply to removal of seven or more permanent teeth, removal of impacted or unerupted teeth imbedded in bone, periodontal surgery involving two or more gum quadrants and adjunctive surgical procedures.
Nota: El límite del beneficio descrito anteriormente no se aplica a la extracción de siete o más dientes permanentes, extracción de dientes no erosionados o dientes afectados incrustados en el hueso, cirugía periodontal que involucra dos o más cuadrantes de la encía y procedimientos quirúrgicos complementarios.