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Covered
Health Net covers a range of allergy immunotherapy treatments aimed at providing relief for those suffering from severe allergic reactions. Coverage typically includes skin testing to identify allergens, followed by a regimen of allergy shots (subcutaneous immunotherapy) tailored to desensitize the patient's immune system. Sublingual immunotherapy (SLIT), a newer form of treatment involving dissolvable tablets placed under the tongue, may also be covered as an alternative to injections. Coverage extends to necessary medical evaluations and follow-up visits required to monitor the effectiveness and safety of the immunotherapy. Additionally, premedication that might be required for optimal treatment outcome and patient comfort during the course of immunotherapy is covered. All treatments are subject to the plan's specific terms and may require prior authorization to ensure medical necessity and appropriate use.
Uncovered
Heath Net often include, but are not limited to, cosmetic surgery procedures not deemed medically necessary, experimental treatments lacking significant scientific backing, weight loss surgeries or programs not meeting specific criteria, and elective procedures such as fertility treatments unless otherwise specified in the plan. Additionally, coverage may exclude services related to non-essential foot care, personal comfort items, and alternative therapies like acupuncture or homeopathy unless the plan specifies their inclusion. Always consult the specific Health Net policy for details, as exclusions can vary by plan and location.
