Covered
Christiana Care Health System provides comprehensive coverage for various treatments and healthcare situations. Patients receiving care under this system can expect coverage for emergency services, inpatient hospital stays, and outpatient surgery. Coverage also includes preventive care, immunizations, and wellness visits. Patients have access to diagnostic services like lab tests and imaging, as well as prescription drug coverage. Specialized treatments such as physical therapy, occupational therapy, and speech therapy are covered. Additionally, patients benefit from coverage for maternity and newborn care. Mental health services, substance abuse treatment, and counseling are equally supported. For chronic diseases, there are management programs and support. Coverage extends to some home health services, hospice care, and durable medical equipment when medically necessary.
Uncovered
Christiana Care Health System's insurance likely excludes coverage for treatments and services deemed experimental or investigational, and those not considered medically necessary. This can include elective cosmetic surgeries, certain weight loss treatments, and gender transformation procedures if they are not medically necessary. Over-the-counter medications, as well as specific dental and hearing services unrelated to injury or illness, might also be excluded from coverage. These exclusions are typical for many healthcare insurance plans, and the specifics can vary depending on the individual policy.