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This health plan covers medically necessary outpatient cardiac rehabilitation furnished by a General or Chronic Disease Hospital or Cardiac Rehabilitation Provider up to the amount described in the benefit limit.

Stem cell (bone marrow") transplants for breast cancer."

Trasplantes de células madre ("médula ósea") para el cáncer de mama.

Surgical removal of unerupted teeth or impacted teeth when imbedded in bone.

Extracción quirúrgica de dientes no erosionados o dientes afectados incrustados en el hueso.

Extraction of seven or more permanent teeth.

Extracción de siete o más dientes permanentes.

For Medicare-approved Skilled Nursing Facility services, Medex pays the Medicare Part A coinsurance from day 21 to day 100 in a benefit period. Then, Medex pays $16 for each day from day 101 to day 365 in the benefit period. The member pays all charges that are more than $16 a day starting on day 101 in the benefit period.

Para servicios en un centro de enfermería especializada aprobados por Medicare, Medex paga el coseguro de la Parte A de Medicare desde el día 21 hasta el día 100 dentro del período de beneficios. De ahí en adelante, Medex paga $16 por día desde el día 101 hasta el día 365 dentro del período de beneficios. El miembro paga todos los cargos que superen los $16 por día a partir del día 101 dentro del periodo de beneficios.

For a Skilled Nursing Facility that does not participate with Medicare, Medex pays $16 each day from day 1 to day 365 in the benefit period. The member pays all charges that are more than $16 a day.