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Covered
Affinity Health Plan usually cover a variety of health care treatments and situations that are considered medically necessary. This could include doctor visits, emergency care, hospital stays, surgeries, preventive services and screenings, mental health care, prescription drugs, and possibly some forms of alternative medicine if deemed appropriate. They may also provide coverage for chronic disease management, rehabilitative services, and certain types of therapy, including physical and occupational therapy. In the realm of allergy treatments, they are likely to cover standard diagnostic tests and treatments such as allergy shots (immunotherapy), antihistamines, and other related medications. It's essential to review your specific plan details or contact Affinity Health Plan directly to get accurate information on coverage.
Uncovered
Affinity Health Plan may exclude coverage for treatments and situations considered non-essential or elective, such as cosmetic surgeries not related to injury or congenital defects, weight loss programs, over-the-counter medications, and experimental treatments lacking FDA approval. Additionally, services like acupuncture or other alternative therapies might not be covered unless deemed medically necessary. Furthermore, procedures and services performed outside of the network without prior authorization are typically not covered. It's important for policyholders to review their specific plan for a detailed list of exclusions.
