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Covered
Network Health provides coverage for a variety of allergy immunotherapy treatments, catering to the needs of individuals suffering from allergies. Coverage typically includes standard allergy testing procedures used to identify specific allergens responsible for triggering symptoms. Once identified, Network Health may cover the cost of allergen immunotherapy, which can encompass subcutaneous injections (allergy shots) that are administered over a period of time to reduce sensitivity to allergens. Additionally, sublingual immunotherapy in the form of oral drops or tablets placed under the tongue may also be covered, offering an alternative to injections for some patients. These treatments are designed to gradually build up a patient's tolerance to allergens, thereby reducing symptom severity over time. The coverage extends to medically necessary diagnostics and treatments prescribed by healthcare providers, aligning with the overall goal of improving patient quality of life through effective allergy management.
Uncovered
Network Health's insurance policies, similar to many in the industry, exclude certain items from coverage. This typically includes over-the-counter medications and treatments, which are not covered as they can be purchased without a prescription. Also excluded are treatments classified as experimental or investigational, due to their unestablished status in the medical community. Furthermore, procedures not deemed medically necessary by healthcare professionals are not covered. Awareness of these exclusions is crucial for policyholders to effectively manage their healthcare plans.
