Outpatient Durable Medical Equipment (DME) We cover outpatient Durable Medical Equipment (DME) subject to Utilization Review by Kaiser using criteria developed by Medical Group and approved by Kaiser. DME must be for use in your home (or a place of temporary or permanent residence used as your home). When you receive DME in a home health setting in lieu of hospitalization, DME is covered at the same level as if it were received in an inpatient hospital care setting. We decide whether to rent or purchase the DME, and we select the vendor. We also decide whether to repair, adjust, or replace the DME item when necessary. Covered DME includes but is not limited to the following:  Bilirubin lights.  CADD (continuous ambulatory drug delivery) pumps.  Diabetic equipment and supplies including external insulin pumps, infusion devices, blood glucose monitors, continuous glucose monitors, lancets, and injection aids.  Enteral pumps and supplies.  Home ultraviolet light therapy equipment for treatment of certain skin conditions such as cutaneous lymphoma, eczema, psoriasis, and scleroderma.  Osteogenic bone stimulators.  Osteogenic spine stimulators.  Oxygen and oxygen supplies.  Peak flow meters.  Ventilators.  Wheelchairs. Outpatient Durable Medical Equipment (DME) Exclusions  Comfort, convenience, or luxury equipment or features.  Devices for testing blood or other body substances (except diabetes blood glucose monitors and their supplies) unless specifically listed as covered in this “Durable Medical Equipment (DME) and External Prosthetic Devices and Orthotic Devices” section.  Exercise or hygiene equipment.  Modifications to your home or car.  More than one corrective appliance or artificial aid or item of DME, serving the same function or the same part of the body, except for necessary repairs, adjustments and replacements as specified in this “Durable Medical Equipment (DME) and External Prosthetic Devices and Orthotic Devices” section.  Non-medical items, such as sauna baths or elevators.  Repair or replacement of DME items due to loss or misuse.  Spare or duplicate use DME. External Prosthetic Devices and Orthotic Devices We cover External Prosthetic Devices and Orthotic Devices, subject to Utilization Review by Kaiser using criteria developed by Medical Group and approved by Kaiser, when the following are true: EWCLGDED1983ACT0124 43 WAPEBB-CL-ACT