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Covered
Independence Blue Cross covers a range of allergy immunotherapy treatments when deemed medically necessary and prescribed by a healthcare provider. This includes subcutaneous immunotherapy, commonly known as allergy shots, which are injections containing small amounts of allergens to help build up a patient’s tolerance over time. Allergy testing to identify specific triggers is also covered, which can include skin tests or specific IgE blood tests. In some cases, sublingual immunotherapy, which involves placing a tablet containing the allergen under the tongue, may be covered as well. Pre-authorization might be required for some treatments to ensure coverage. Coverage may include the necessary office visits for administration and monitoring of the immunotherapy.
Uncovered
Independence Blue Cross might exclude coverage for treatments and situations deemed experimental, not medically necessary, or cosmetic in nature. Certain unproven procedures, over-the-counter medications, and elective surgeries may not be covered. Also, alternative therapies like acupuncture or holistic treatments that lack widespread medical endorsement could be excluded. Additionally, weight loss surgeries or programs not related to a medical condition, dental care unless it's emergency or accidental, and eyeglasses or contact lenses might be non-covered items. Specific stipulations regarding pre-existing conditions or self-inflicted injuries could also limit coverage. Always review your policy details for a comprehensive list of exclusions.
