Covered
Blue Shield of California provides coverage for various allergy treatments and situations, ensuring that members can access appropriate care. Policyholders benefit from services like allergy testing, which determines specific allergens causing symptoms. Once identified, Blue Shield of California often covers allergy immunotherapy, an effective treatment aiming to desensitize the immune system. This can include both subcutaneous injections and sublingual pills or drops. In cases of severe allergic reactions, emergency treatments may also be covered, ranging from immediate interventions to hospital stays and specialty medications, if medically necessary. Coverage details, including the degree of support for prescription medications to manage allergies, are outlined in individual plans and subject to the terms and conditions of the member's policy.
Uncovered
Blue Shield of California may not cover treatments deemed experimental or investigational, non-medically necessary cosmetic surgery, weight control services, and treatments related to obesity, except for medically necessary bariatric surgery. Coverage for alternative medicine such as acupuncture might have limitations. Custodial care, personal comfort items, dental services not related to accidental injury, and routine foot care are also typically excluded. Additionally, over-the-counter medications and prescriptions not approved by the FDA may not be covered. Keep in mind that specific exclusions may vary by plan and patients should review their individual plan documents for detailed information.
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