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Covered
Blue Cross Blue Shield of North Carolina provides coverage for allergy immunotherapy, which is recognized as an effective treatment for allergic rhinitis, allergic asthma, conjunctivitis, and stinging insect hypersensitivity. This includes both subcutaneous immunotherapy (SCIT), commonly known as allergy shots, and sublingual immunotherapy (SLIT), in tablet or drop forms. Coverage typically includes the costs associated with allergy testing to identify specific allergens, preparation of allergen extracts, and the administration of the treatment. It’s essential to note that prior authorization might be necessary, and benefits can vary based on the individual plan details and patient needs, so members should review their policy or consult with BCBSNC for specific coverage information.
Uncovered
Blue Cross Blue Shield of North Carolina may not cover treatments and situations such as services deemed experimental or investigational, non-medically necessary procedures, cosmetic surgery, over-the-counter medications, weight control services not medically necessary, work-related injuries covered under Workers' Compensation, and care provided by family members. Coverage exclusions can vary based on policy details and state regulations, so it's important to review individual insurance agreements for specific exclusions.
