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Covered
Quartz Health Solutions generally provides coverage for a variety of healthcare treatments and services which typically might include preventive care, emergency services, hospitalization, prescription drugs, maternity and newborn care, mental health and substance use disorder services, rehabilitative services, and devices, laboratory services, and pediatric care. However, the specifics of what treatments or situations are covered can vary greatly depending on individual policy details, the plan chosen, location, and other factors. To determine the exact coverage for allergy immunotherapy or any other treatment, members should review their plan documentation or contact Quartz Health Solutions directly for assistance with their policy details.
Uncovered
Quartz Health Solutions may exclude coverage for certain treatments or situations including, but not limited to, cosmetic procedures not medically necessary, elective surgeries that are not deemed medically necessary, treatments considered experimental or investigational, over-the-counter medications, and services not approved by the Food and Drug Administration. Additionally, care provided without prior authorization, when such is required, may not be covered. Out-of-network care (except in emergencies) may also be subject to limited or no coverage, as well as certain alternative therapies not recognized by conventional medicine.
