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Covered
Blue Cross Blue Shield of Arizona covers a variety of treatments and situations for allergy immunotherapy, providing that these are deemed medically necessary and part of an approved treatment plan. Coverage typically includes diagnostic testing to confirm allergies, office visits for the administration of allergy shots (subcutaneous immunotherapy), and the allergenic extracts used in immunotherapy. Coverage may also extend to sublingual immunotherapy if considered appropriate and cost-effective. Preauthorization is usually required to ensure the proposed treatment aligns with the insurance provider's medical policies and guidelines. Members may also have access to specialized care through in-network providers who specialize in allergy treatment, ensuring a comprehensive approach to managing allergies and reducing symptoms over time.
Uncovered
Blue Cross Blue Shield of Arizona may exclude coverage for treatments deemed experimental or investigational, cosmetic surgery not related to an injury or illness, services related to weight control, non-medically necessary dental services, hearing aids for adults, and routine eye exams or eyewear. Some over-the-counter medications and most fertility treatments are also typically not covered. Services provided by immediate family members, custodial care such as help in daily living, and educational services for conditions like dyslexia might be excluded as well. Coverage for specific situations and treatments can vary by plan, so it's essential for members to review their individual policy documents for a complete list of exclusions.
