Covered
Blue Cross Blue Shield of Alabama covers various allergy treatments and situations, providing support for many individuals dealing with allergies. Their coverage typically includes diagnostic testing like skin tests and blood tests to identify allergens. Upon confirmation, patients can receive coverage for allergen immunotherapy which may involve subcutaneous injections commonly known as allergy shots. These shots, which gradually desensitize the immune system to allergens, can be a long-term treatment plan aimed at reducing allergic reactions. Additionally, under certain plans, prescription medications such as antihistamines, nasal corticosteroids, and other anti-inflammatory agents that manage symptoms are covered. Coverage details and extent can vary based on the individual's specific insurance plan and any applicable deductibles, copayments, or coinsurance. It is recommended for members to review their policy documents for detailed coverage information or contact customer service for personalized assistance.
Uncovered
Under Blue Cross Blue Shield of Alabama, certain treatments or situations are generally not covered. These typically include:
- Procedures deemed experimental or investigational.
- Cosmetic surgery not related to reconstructive procedures following an injury or for congenital anomalies.
- Non-medical services such as convenience or comfort items.
- Behavioral, educational, or marital counseling.
- Custodial care not deemed medically necessary.
- Over-the-counter medications and some prescription drugs not included in the formulary.
- Services for conditions covered under workers' compensation or similar laws.
- Charges incurred from no-show or cancelled appointments.
It is crucial for members to review their specific plan details for a comprehensive list of exclusions.
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