10 GCA § 2907.3: Physician Services.

(a) Coverage shall include:

(1) physician evaluation and management services on an in-patient and out-patient basis;

(2) consultation services; and

(3) specialty services.

(b) Physician Services Not Covered. The following services will not be covered:

(1) elective cosmetic surgery, except as provided for in the Women’s Health Act; or

(2) any services or items requiring prior authorizations, which have not been obtained or have been denied by the Medically Indigent Program.

(c) Limitations and Exclusions. All physician services are subject to the stated benefit limitations and exclusions outlined in § 2912 through § 2913.