Covered
Amerigroup covers a variety of treatments and situations with respect to allergy immunotherapy, recognizing it as a beneficial approach to managing allergies. Coverage typically includes allergy testing to pinpoint specific allergens, and once the diagnosis is established, it extends to both subcutaneous immunotherapy (SCIT), commonly known as allergy shots, and sublingual immunotherapy (SLIT) in the form of tablets. These treatments are intended to gradually desensitize the body's immune system to allergens, potentially reducing the severity of allergic reactions over time. Additionally, Amerigroup may cover medically necessary allergy medications and office visits associated with allergy treatment management, ensuring a comprehensive approach to allergy care for their members. Eligibility for coverage of specific treatments depends on individual plan details and possibly the state's mandates on health insurance coverage.
Uncovered
Amerigroup may exclude coverage for cosmetic surgery, experimental or investigational treatments, and non-emergency services received from out-of-network providers without prior authorization. Fertility treatments, weight loss surgery, and certain dental services unless medically necessary might not be covered. Additionally, personal comfort or convenience items, such as a private hospital room, and over-the-counter medications are typically not covered. It's also standard for elective procedures that do not improve health or function, such as elective abortion, to be excluded. Always verify individual policy details, as exclusions can vary.o
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