Benefits will be paid the same as any other sickness for the chiropractic care delivered by a licensed chiropractor. Benefits will include diagnosis and clinically appropriate and medically necessary services and supplies required treating the diagnosed disorder. Benefits will provided for the initial 15 visits per academic year. In order to receive benefits for any additional visits, the insured must notify Student Health prior to receiving any additional visits. Review of medical necessity will be performed for any follow-up diagnostic tests or visits for treatment in excess of the initial twenty-six visits. Benefits shall be subject to 20% co-insurance, limitations or any other provisions of the plan. Referral is required from Student Health Service, or from Forest Park Pediatrics, in the care of a covered child.