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(c) Anesthesia and its administration, up to the Maximum Benefit Amount shown in the Schedule of Benefits <br />for the Anesthesia benefit. <br />(d) Use of surgical facilities, up to the Maximum Benefit Amount per operating session, as shown in the <br />Schedule of Benefits for the Surgical Facility benefit. <br />(6) Doctor's Visits - charges by a Doctor for other than pre- or post -operative care: <br />(a) For in -Hospital visits, up to the Maximum Benefit Amount shown in the Schedule of Benefits for Doctor's <br />Visit — In -Hospital. <br />(b) For office visits, up to the Maximum Benefit Amount shown in the Schedule of Benefits for Doctor's Office <br />Visits. <br />Total visits per Injury will not exceed the combined Maximum shown in the Schedule of Benefits for All In - <br />Hospital and Office Doctor's Visits. <br />(7) X-Ray and Laboratory - charges for X-ray and laboratory tests, up to the Maximum Benefit Amount shown in <br />the Schedule of Benefits for the X-ray & Laboratory benefit. <br />(8) Nursing Services - Charges for nursing services (other than routine Hospital care) by or under the <br />supervision of a licensed graduate registered nurse, up to the Maximum Benefit Amount shown on the <br />Schedule of Benefits for the Nursing benefit. <br />(9) Physiotherapy - Charges for physiotherapy: <br />(a) While Hospital confined, up to the Maximum Benefit Amount shown in the Schedule of Benefits for the <br />Hospital Inpatient Physiotherapy benefit; <br />(b) As an outpatient, up to the Maximum Benefit Amount shown on the Schedule of Benefits for the <br />Outpatient Physiotherapy benefit. <br />Physiotherapy includes: <br />(a) Heat treatment; <br />(b) Diathermy; <br />(c) Microtherm; <br />(d) Ultrasonic; <br />(e) Adjustment; <br />(f) Manipulation; <br />(g) Massage therapy and <br />(h) Acupuncture. <br />Total treatment per Injury will not exceed the Maximum Benefit Amounts for Physiotherapy shown in the <br />Schedule of Benefits. <br />(10) Ambulance - from the place where the Injury occurred to the Hospital, up to the Maximum Benefit Amount <br />shown In the Schedule of Benefits for the Ambulance benefit. <br />(11) Medical Equipment Rental - charges for medical equipment for; <br />(a) A wheelchair; <br />(b) An iron lung; or <br />(c) Other medical equipment for which prior approval by us has been given; <br />up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Medical Equipment Rental <br />benefit. <br />(12) Medical Services and Supplies - Charges for medical services and supplies for: <br />(a) Oxygen and its administration; <br />(b) Blood and blood transfusions; <br />up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Medical Service & Supply <br />benefit. <br />(13) Dental Treatment - Charges for dental treatment for Injury to a tooth which was sound and natural at the time <br />of Injury, up to the Maximum Benefit Amount shown in the Schedule of Benefits for the Dental Treatment <br />benefit. <br />GAC26932 <br />