Sound Shore Medical Center of Westchester SSMC Active EE Health Final SPD Page 62
SSMC Employee Health Benefit Plan
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l. Drugs or Supplies furnished by Home Health Care Agencies, Hospice Care Agencies or by Hospitals,
Skilled Nursing Facilities, Convalescent Facilities, Rehabilitation Facilities or other facilities while the
patient is confined. These drugs and Supplies are considered part of the services provided by the
facility and are not covered under the Prescription Drug Expense Benefits. Drugs dispensed while the
Covered Person is considered a resident in a nursing home or other residential facility will be
considered only when the patient is billed separately by the Pharmacy.
m. Drugs that are not considered Medically Necessary for treatment of an Illness or Injury even if
obtainable only by prescription and even if prescribed by a Physician.
