Other Benefits

Chiropractic

Chiropractors help keep the spine and other body parts straight.

  • Treatment to correct a partial dislocation
  • X-rays

Limits

  • Chiropractor visits (prior authorization is required for additional visits beyond the initial consultation)

Physical or Occupational Therapy, Speech Therapy and Audiology

These types of care are ordered by a doctor and are a part of that doctor’s written plan of care.  Covered care includes treatment or other services given by speech, physical or occupational therapists.  This treatment is given to correct or improve conditions.

Limits

  • All physical, occupational and speech therapy care needs an approval from us ahead of time.
  • Only members under 21 years of age may get hearing aid evaluations, hearing aids and supplies, batteries and repairs.
  • Hearing aids are limited to members under 21 years of age and need an approval from us ahead of time.

Home Health Care Services

These are visits to your home to give you care for certain illnesses or injuries only.  You must get our approval for these types of visits.  These services must be ordered by a doctor.

What is a covered service?

We cover:

  • Services from a licensed home health agency or visiting nurse group
  • Physical, occupational and speech therapy
  • Medical supplies
  • Care from a health aide who works under a registered nurse (RN) or a therapist
  • Breathing treatments

These types of buildings do not qualify as a “home”:

  • Hospital nursing facility
  • Intermediate care facility for the mentally retarded (ICF/MR)
  • State institution