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Service Area. Our Service Area consists of Clark and Cowlitz counties in the state of Washington. In Oregon: Benton: 97330, 97331, 97333, 97339, 97370, 97456. Clackamas: All ZIP codes. Columbia: All ZIP codes. Hood River: 97014. Lane: All ZIP codes. Linn: 97321, 97322, 97335, 97348, 97355, 97358, 97360, 97374, 97377, 97389, 97446. Marion: All ZIP codes. Multnomah: All ZIP codes. Polk: All ZIP codes. Washington: All ZIP codes. Yamhill: All ZIP codes. Services. Health care services, supplies, or items. Specialist. Any licensed Participating Provider who practices in a specialty care area of medicine (not family medicine, pediatrics, gynecology, obstetrics, general practice, or internal medicine). In most cases, you will need a referral in order to receive covered Services from a Specialist. Spinal and Extremity Manipulation (Diversified or Full Spine Specific (FSS)). The Diversified manipulation/adjustment entails a high-velocity, low amplitude thrust that usually results in a cavitation of a joint (quick, shallow thrusts that cause the popping noise often associated with a chiropractic manipulation/adjustment). Spouse. The person to whom you are legally married under applicable law. Stabilize. With respect to an Emergency Medical Condition, to provide the medical treatment of the condition that is necessary to assure, within reasonable medical probability that no material deterioration of the condition is likely to result from or occur during the transfer of the person from the facility. With respect to a pregnant woman who is having contractions, when there is inadequate time to safely transfer her to another hospital before delivery (or the transfer may pose a threat to the health or safety of the woman or unborn child), “Stabilize” means to deliver the infant (including the placenta). State Agency: An office, department, board, commission, institution, or other separate unit or division, however designated, of the Washington state government. It includes the legislature, executive branch, and agencies or courts within the judicial branch, as well as institutions of higher education and any unit of state government established by law. State-Registered Domestic Partner. An adult who meets the requirements for a valid state-registered domestic partnership and has been issued a certificate of state-registered domestic partnership by the Washington State Secretary of State, or an adult whose legal union (other than a marriage) is validly formed in another jurisdiction and is substantially equivalent to a domestic partnership under Washington law. Subscriber. The employee or Continuation Coverage Enrollee who has been determined eligible and is enrolled in this plan and is the individual to whom the PEBB Program or Kaiser will issue notices, information, requests, and premium bills on behalf of an Enrollee. Substance Use Disorder. A substance-related or addictive disorder listed in the most current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association. EWCLGHDHP1983ACT0124 14 WAPEBB-CD-ACT

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