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Covered
Highmark, as an insurance provider, typically covers a range of treatments and medical situations when it comes to allergy immunotherapy. This includes diagnostic testing to confirm allergies, office visits to an allergist or immunologist, and standard allergy shots (subcutaneous immunotherapy). They may also cover non-standard forms of immunotherapy like sublingual tablets or drops, depending on the patient's specific plan and medical necessity as determined by healthcare providers. These treatments are aimed at reducing sensitivity to allergens, potentially leading to long-term relief. Additionally, Highmark might cover prescription medications associated with allergy treatment, such as antihistamines or nasal corticosteroids, to manage symptoms. Coverage is subject to plan details, and prior authorization requirements or specialist referrals may apply.
Uncovered
Highmark may not cover treatments deemed experimental or not medically necessary. Unproven procedures, certain cosmetic surgeries, and services related to self-inflicted injuries might be excluded. Additionally, over-the-counter medications and some alternative therapies such as homeopathy typically fall outside the scope of coverage. Travel or convenience services, private nursing, and educational supplies are also not covered. Specific exclusions can vary by plan, so it's essential to review the individual policy details.
