Program several days per Services week, for people who are recovering from substance use disorders Substance Treatment for As medically necessary and Abuse people who are recommended by us Residential recovering from Treatment substance use Services disorders Therapeutic Services provided We cover: Behavioral by a team to Up to 9 hours per month Services prevent children Copayment: $2.00 per ages 0-20 with visit mental illnesses or behavioral health issues from being placed in a hospital or other facility Transplant Services that Covered as medically Services include all surgery necessary and pre and care Visual Aid Visual Aids are We cover the following Services items such as services when prescribed by glasses, contact your doctor: lenses and Two pairs of eyeglasses prosthetic (fake) for children ages 0-20 eyes Contact lenses Prosthetic eyes Visual Care Services that test Covered as medically Services and treat conditions, necessary illnesses and Copayment: $2.00 per diseases of the office visit eyes Your Plan Benefits: Expanded Benefits Expanded benefits are extra goods or services we provide to you, free of charge. Call Member Services to ask about getting expanded benefits. <INSERT PLAN EXPANDED BENEFITS INFO>
Program Services several days per week, for people who are recovering from substance use disorders Substance Abuse Residential Treatment Services Treatment for people who are recovering from substance use disorders As medically necessary and recommended by us Therapeutic Behavioral Services Services provided by a team to prevent children ages 0-20 with mental illnesses or behavioral health issues from being placed in a hospital or other facility We cover: Up to 9 hours per month Copayment: $2.00 per visit Transplant Services Services that include all surgery and pre and care Covered as medically necessary Visual Aid Services Visual Aids are items such as glasses, contact lenses and prosthetic (fake) eyes We cover the following services when prescribed by your doctor: Two pairs of eyeglasses for children ages 0-20 Contact lenses Prosthetic eyes Visual Care Services Services that test and treat conditions, illnesses and diseases of the eyes Covered as medically necessary Copayment: $2.00 per office visit Your Plan Benefits: Expanded Benefits Expanded benefits are extra goods or services we provide to you, free of charge. Call Member Services to ask about getting expanded benefits. <INSERT PLAN EXPANDED BENEFITS INFO>