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To secure coverage for allergy immunotherapy under Blue Cross Blue Shield of Alabama, you must first have a confirmed allergy diagnosis. This is typically determined by an allergist through skin or blood tests. Once diagnosed, the provider must submit a treatment plan, including the frequency and duration of the immunotherapy, which must conform to medically recognized standards. Prior authorization may be required, and you should ensure the allergist is within the BCBS of Alabama network to maximize coverage.
Coverage can include both subcutaneous (injections) and sublingual (under the tongue) options. Restrictions may apply to the types of allergens covered and age limits for treatment. Keep in mind that co-pays, deductibles, and co-insurance can affect out-of-pocket costs. Documentation such as proof of previous ineffective allergy treatments might be needed. Regular follow-ups to assess the effectiveness of the therapy may be required for continued coverage.
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Starting the process with Blue Cross Blue Shield (BCBS) of Alabama for allergy immunotherapy:
1. Contact BCBS Alabama: Call Customer Service at 1-800-492-8872.
2. Verify Coverage: Ask about coverage specifics for allergy immunotherapy.
3. Gather Information: Provide policy number, personal identification, and allergy diagnosis.
4. Pre-Authorization: Inquire if pre-authorization is needed for treatment.
5. Find a Provider: Request a list of in-network allergists.
6. Documentation: Obtain a list of necessary documentation for claims (e.g., doctor’s notes, test results).
7. Understand Costs: Clarify co-pays, deductibles, and out-of-pocket maximums related to your treatment.
8. Follow Up: After the call, email or secure message for a written summary of your coverage benefits.
Treatment prescribed
by clinician
Clinicaly made allergen extracts are customized for your allergies
Your immune system gets desensitized to allergens, giving you long-term relief.