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Covered
Scripps Health, through its insurance plans, typically covers a broad range of medical services and treatments to promote comprehensive healthcare. This often includes primary care visits, specialist consultations, preventive health screenings, hospitalization, emergency services, surgical procedures, prescription medications, and rehabilitative services. Mental health care, maternity and newborn care, and pediatric services including immunizations are also commonly covered. Additionally, patients receiving allergy immunotherapy could find that their treatment, including diagnostic testing and allergy shots, is covered as part of Scripps Health's dedication to addressing chronic conditions. Coverage may extend to advanced treatments and imaging services, like MRIs and CT scans, as essential diagnostic tools. Always remember that the specifics of coverage can vary by plan and it is crucial to consult with Scripps Health for detailed plan information.
Uncovered
Scripps Health insurance may exclude coverage for certain treatments or situations like experimental or investigational therapies, cosmetic procedures not medically necessary, weight loss programs or surgeries not deemed medically necessary, elective abortions, over-the-counter medications, and certain dental services unless part of a covered medical condition. Additionally, services received from non-network providers without prior authorization or services associated with work-related injuries that should be covered under workers' compensation may not be covered. It's vital for policyholders to review their specific plan details as exclusions can vary.
