Other Covered Services and Items

40 - Other Covered Services and Items (Rev. 1, 10-01-03) A3-3112.4.C, HO-230.4.D Covered services and items provided by the hospital in connection with a clinic visit or a physician’s treatment of outpatients include the use of the following: • Hospital facilities, including the use of the emergency room; • Services of nurses, nonphysician anesthetists, psychologists, technicians, therapists, and other aides; and • Medical supplies such as gauze, oxygen, ointments, and other supplies used by physicians or hospital personnel in the treatment of outpatients. Additional examples of covered items are surgical dressings; splints, casts, and other devices used for reduction of fractures and dislocations; prosthetic devices; leg, arm, back, and neck braces, trusses, and artificial legs, arms, and eyes.