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Covered
Blue Cross Blue Shield of Massachusetts provides coverage for a variety of allergy-related treatments and situations. This includes allergy testing to identify specific allergens responsible for symptoms, as well as the administration of allergy shots (allergen immunotherapy), which can help desensitize the body to these allergens over time. Coverage often includes both standard and alternative testing methods, such as skin tests or blood tests (like RAST or immunoassay), with prior authorization sometimes necessary for specific procedures. Additionally, Blue Cross Blue Shield of Massachusetts may cover medically necessary visits to allergists or immunologists, prescription medications for allergies, emergency treatments for allergic reactions such as the use of epinephrine, and preventive measures including but not limited to inhaled nasal steroids, antihistamines, and leukotriene modifiers. Always consult with a healthcare provider and review your specific policy for detailed coverage information and potential cost-sharing responsibilities.
Uncovered
Blue Cross Blue Shield of Massachusetts typically doesn't cover treatments that are deemed experimental or investigational, cosmetic procedures not related to reconstructive surgery for anomaly or injury, personal comfort or convenience items, and elective abortions. Non-medically necessary services or those related to workers' compensation or similar laws are also excluded. Services received before coverage begins or after it ends, dental care not associated with covered surgery, hearing aids (except for children), routine foot care, and educational or vocational therapy are generally not covered. Coverage is not provided for non-prescription drugs, over-the-counter items, or services provided by immediate family members.
