The following includes examples of, but is not limited to, services which are not a benefit under the Schedule and may not be claimed:
Benefits may not be claimed by a surgeon, surgical assistant or anesthetist with respect to:
Except for services known to be uninsured, the initial visit(s) to establish a diagnosis of the patient's condition is an insured service, including situations where the patient has been referred to another physician. After establishing a diagnosis during the initial visit(s), if the physician determines the service is not medically required, or is an uninsured service, all subsequent services related to the uninsured service such as preoperative tests, assessments, consultations, surgical procedures, anesthetic or surgical assists may not be claimed.
Uninsured services may not be claimed. Examples of uninsured services include but are not limited to:
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