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Covered
Regence health insurance typically provides coverage for a range of treatments and situations related to allergy immunotherapy. This often includes diagnostic testing to identify allergens, visits to allergists for evaluation and management, as well as the allergy shots themselves, also known as subcutaneous immunotherapy. Coverage generally extends to treatments that are deemed medically necessary and prescribed by healthcare providers following evidence-based guidelines. Additionally, some plans may cover sublingual immunotherapy, an alternative to allergy shots that involves placing a tablet containing the allergen under the tongue. Pre-authorization might be necessary for certain therapies, and the level of coverage can depend on the specific policy, including factors like co-pays, deductibles, and out-of-network considerations. Always refer to the member's benefit plan for the most accurate coverage information.
Uncovered
Regence may not cover treatments deemed as experimental or investigational, including certain off-label drug uses not approved by the FDA. Cosmetic procedures lacking medical necessity, like elective beautification treatments, are typically not covered. Services related to weight loss programs, such as dietary supplements or fitness programs, may be excluded unless medically necessary. Additionally, coverage for non-traditional therapies such as acupuncture or homeopathic treatments is often limited or excluded, unless specified in the plan. Fertility treatments, such as in-vitro fertilization, are not always covered, depending on policy specifics. Over-the-counter medications and most alternative medicine services are also generally not eligible for coverage.
