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limitation as to the disabling condition is available to the Member under any replacement plan; or (4) the Member moves out of California or any other pertinent terminating event occurs, as specified in the Group Agreement or this Evidence of Coverage. EXCLUSIONS AND LIMITATIONS COVERED SERVICES ARE SUBJECT TO THE CONDITIONS, EXCLUSIONS AND LIMITATIONS SET FORTH IN THE AGREEMENT, ELSEWHERE IN THIS EVIDENCE OF COVERAGE, THE BENEFITS SCHEDULE, AND THE FOLLOWING (NOTE: FACILITY AND ALL OTHER CHARGES RELATED TO, OR AS A FOLLOW-UP TO SERVICES AND SUPPLIES THAT ARE SPECIFIED AS EXCLUDED OR BEYOND THE LIMITATIONS SET FORTH IN THIS EVIDENCE OF COVERAGE ARE LIKEWISE EXCLUDED) : l. General exclusions and limitations. This plan does not cover: o investment advice (nor does OHS loan money or pay bills) ; o legal representation in court, preparation of legal documents, or advice in the areas of labor law, taxes, patents or immigration; o tax representation or preparation services; or o services of a Participating Provider that are not authorized by OHS, or that are beyond the maximum number of Sessions covered under this plan as set forth in the attached Benefits Schedule. o psychoanalysis and treatment for Chronic mental health conditions is excluded. o Inpatient treatment of any kind. o Medical transportation. o Treatment that OHS determines to be for medical, organic, endocrine, metabolic, or physiological disorders. o Services and supplies determined by OHS to be for for the treatment of mental retardation, autism, congenital mental abnormalities, developmental and learning disorders, functional nervous disorders or chronic deficiencies of mental ability. 2. Non-Medically/Psychologically Necessary services and supplies are excluded. 3. Services and supplies rendered by non-Participating Providers are excluded. 4. Prior Authorization. Any services and supplies provided without Prior Authorization of coverage are excluded. If the Member fails to obtain Prior Authorization, OHS will not overturn the resulting denial on the basis of whether the service or supply would have been covered had the Member requested Prior Authorization. All communications by OHS granting Prior Authorization of coverage are conditioned upon the Member's eligibility for coverage at the time the Covered Services are received. If subsequent to OHS' communication of Prior Authorization OHS discovers that the Member - 7 - ..--',.