ired.
(f) Carpal Tunnel Syndrome.
Carpal Tunnel Syndrome is generally sharable, but during the first 36 months membership, a
Confirmation of No Prior Existence of Condition statement may be required.
(g) Complications Arising from Maternity.
Medical expenses for complications to the member are considered part of the maternity need.
(h) Complications Arising from Sharable Medical Procedures.
If complications arise from a medical procedure that is sharable, expenses for treating the complications
are sharable unless the complication itself is not sharable under these Guidelines.
(i) Dental Injury.
Expenses for dental care are generally not sharable, with the following exceptions:
i. Expenses for the treatment of natural teeth and caps (but not dentures or partial plates) that are
broken/injured in an accident (but not an accident that occurs in the course of receiving dental
care, when eating, or in certain motor vehicle accidents).
ii. We do not share routine dental work such as (but not limited to): check-ups, cleanings (including
deep cleanings), fillings, crowns, root canals, implants, removal of wisdom or infected teeth,
dentures, bridges, anesthesia for routine dental care, or treatment of periodontal disease, except
when these routine treatments are necessarily a part of surgery on the bones or other non-routine
treatments. So, for example, if you have an infected tooth removed, that will normally not be
sharable. But if the infection went into the jawbone and required removal of some of the bone,
then the entire procedure would be sharable. Implants are not included because they always
involve “surgery on the bone,” and there are usually less expensive alternatives.
(j) Diabetes
Diabetes is sharable, unless it is related to diabetes you had prior to becoming a member and it does not
come within the exception described in Section VII.C.2. During the first 36 months of membership, a
Confirmation of No Prior Existence of Condition statement may be required.
(k) Foot Disorders.
Foot Disorders are generally sharable, but during the first 36 months of membership, a Confirmation of
No Prior Existence of Condition statement may be required.UHFR093021E100121 Page 112
(l) Genetic Defects.
Genetic Defects are sharable when at least one of the following is true:
i. Neither the condition nor a symptom of the condition was discovered until after the then-current
and continuously maintained membership had begun;
ii. The condition has not required treatment or produced harmful symptoms, and has not
deteriorated for at least five years;
iii. The condition exists in a person who has been included in a membership from birth, and the
member was included in a membership prior to the pregnancy; or
iv. If the condition exists in a person who was adopted, the person has been i