(a) The second surgical opinion benefit provisions of a policy may exclude: (1) Benefits while the patient is confined in a hospital as an inpatient; (2) Any surgical procedures not covered by the policy; and (3) Surgical procedures in the following categories: cosmetic surgery, pregnancy-related surgery, dental surgery, podiatric surgery, and sterilization. (b) If an eligible physician who furnishes a second or third surgical opinion also performs the surgical procedure, the policy need not provide payment for the second and third opinion services of that physician.
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