Covered
Geisinger Health Plan typically provides coverage for a variety of treatments and medical situations that include preventive services, emergency care, inpatient and outpatient hospital services, maternity and newborn care, pediatric services including vaccinations, mental health and substance use disorder services, prescription drugs, rehabilitation services, and laboratory services. Specifically, for allergy immunotherapy, it is common for health plans to cover initial evaluation by an allergist, skin or blood testing for specific allergens, and standardized allergen extracts for immunotherapy, as well as the administration of allergy shots if deemed medically necessary. As with all medical treatments, coverage may be subject to plan specifics, deductibles, copayments, or coinsurance, and prior authorization requirements. Always consult with Geisinger Health Plan for your individual plan details and coverage specifics for any treatment or medical situation.
Uncovered
Geisinger Health Plan may not cover services deemed experimental or investigational, cosmetic procedures not medically necessary, routine foot care except for diabetes or peripheral vascular disease, and elective abortions. Custodial care, personal comfort items, and over-the-counter medications typically are not covered. Fertility treatments like in vitro fertilization, reproductive procedures, or reversal of sterilization may not be covered. Coverage exclusions might also apply to weight loss surgery if not deemed medically necessary or treatments outside the U.S. without prior authorization.
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