| Document Date: 2013-05-05 06:18:27
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Company Covered Services / Service Issuer Name BCBS Healthcare Plan of Georgia Inc. / / Country United States / / Facility Hospice Services No / All No Inpatient Facility / Urgent Care Center / Hospital Stay / / IndustryTerm rehabilitative services / dialysis equipment / transportation / treatment of learning disabilities / minimal brain dysfunction / courtmental health services / Educational services / therapy services / Food supplements / food / substance abuse services / barber services / telephone charges / mental health services / homemaker services / treatment of behavioral disorders / nutritional sustenance products / surgical services / pharmacological services / ancillary services / travel expenses / treatment of obesity / / MedicalCondition chronic illnesses / granuloma / male organic erectile dysfunction / neurological disorders / autistic disease / Injury / obesity / learning disabilities / attention deficit disorder / illness / periodontal disease / gynecomastia / infertility / neurological disability/disorder / chronic brain syndromes / mental retardation / developmental and learning disorders / impacted teeth / gingivitis / mental deficiency / Sexual Modification/Dysfunction Treatments - Surgical / transsexualism / attention deficit hyperactivity disorder / dental caries / radicular cysts / eating disorders / minimal brain dysfunction / behavioral disorders / / MedicalTreatment enteral feeding / Artificial insemination / reconstructive surgery / counseling / emergency treatment / surgery / liposuction / voluntary sterilization / Cosmetic Surgery / otoplasties / gastroplasty / mammoplasty / eye surgery / orthoptics / dental surgery / self-care / gastric bypass / Biofeedback / Dialysis / bariatric surgery / in vitro fertilization / breast augmentation / / Organization Urgent Care Center / Ambulatory Surgery Center / Inpatient Hospital / Minimum Unit / Limit Unit / / Person Care Visit / / Position Nurse / Physician Assistant / Physician / Outpatient Surgery Physician/ Surgical Services Covered Physician / surgery and health aide / home Dietitian / Illness Specialist / Inpatient No Physician / homemaker / nurse / therapist / / ProvinceOrState Georgia / / Technology Biofeedback / Dialysis / /
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Georgia EHB Benchmark Plan