Emergency Transportation Covered as medically Transportation provided by necessary. Services ambulances or air ambulances (helicopter or airplane) to get you to a hospital because of an emergency Evaluation and Services for We cover: Management visits to One adult health doctor’s Services stay healthy and screening (check-up) per prevent or treat year illness Child health check-ups are provided based on age and developmental needs One visit per month for people living in nursing facilities Up to two office visits per month for adults to treat illnesses or conditions Copayment: $2.00 per office visit Family Therapy Services for families We cover: Services to have therapy Up to 26 hours per year sessions with a Copayment: $2.00 per mental health visit professional Family Training Services to support As medically necessary and and Counseling a family during their recommended by us for Child mental child’s Development health treatment Gastrointestinal Services to treat We cover: Services conditions, Covered as medically illnesses, or necessary diseases of the Copayment: $2.00 per stomach or office visit digestion system Genitourinary Services to treat We cover: Services conditions, Covered as medically illnesses, or necessary diseases of the Copayment: $2.00 per genitals or urinary office visit system
Emergency Transportation Services Transportation provided by ambulances or air ambulances (helicopter or airplane) to get you to a hospital because of an emergency Covered as medically necessary. Evaluation and Management Services Services for doctor’s visits to stay healthy and prevent or treat illness We cover: One adult health screening (check-up) per year Child health check-ups are provided based on age and developmental needs One visit per month for people living in nursing facilities Up to two office visits per month for adults to treat illnesses or conditions Copayment: $2.00 per office visit Family Therapy Services Services for families to have therapy sessions with a mental health professional We cover: Up to 26 hours per year Copayment: $2.00 per visit Family Training and Counseling for Child Development Services to support a family during their child’s mental health treatment As medically necessary and recommended by us Gastrointestinal Services Services to treat conditions, illnesses, or diseases of the stomach or digestion system We cover: Covered as medically necessary Copayment: $2.00 per office visit Genitourinary Services Services to treat conditions, illnesses, or diseases of the genitals or urinary system We cover: Covered as medically necessary Copayment: $2.00 per office visit