Covered
Molina Healthcare provides coverage for a range of treatments and situations regarding allergy immunotherapy, which is designed to help patients manage and decrease their sensitivity to allergens. Coverage typically includes diagnostic testing to identify specific allergens, standard immunotherapy injections (often referred to as allergy shots), and sublingual immunotherapy (SLIT), which is a form of treatment that involves placing a tablet containing the allergen under the tongue. The policy generally supports both the initial phase, where doses are administered more frequently to build up immunity, and the maintenance phase that involves longer intervals between doses to sustain immunity. Precise coverage details and associated costs can vary depending on the individual's specific plan and the state regulations, so it is recommended to review the policy or speak directly with a Molina Healthcare representative for personalized information.
Uncovered
Molina Healthcare may not cover treatments and situations such as cosmetic surgery that is not medically necessary, experimental or investigational procedures, out-of-network services without prior authorization (except in emergencies), and certain over-the-counter medications. Additionally, care that is considered not medically necessary, such as some elective procedures or those for convenience, may also be excluded. Coverage also typically does not extend to services related to work injuries or conditions covered under workers' compensation. It's important to note that exclusions can vary by policy and state, and members should consult their specific plan documents for detailed coverage information.
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