Covered
Florida Blue, as a licensee of Blue Cross Blue Shield in Florida, offers coverage for various healthcare treatments and situations, including allergy immunotherapy. This could encompass both subcutaneous immunotherapy (allergy shots) and sublingual immunotherapy (under-the-tongue tablets), depending on the patient's specific plan and medical necessity. Coverage typically extends to diagnostic testing to identify allergens, office visits for the administration of immunotherapy, and the allergenic extracts used in treatment. Additionally, coverage may include the management and treatment of reactions to immunotherapy. It's essential for members to consult their individual policy documents or contact Florida Blue directly to understand their plan's specifics, including any applicable co-pays, deductibles, or co-insurance responsibilities, as these can affect out-of-pocket costs and coverage limits.
Uncovered
Florida Blue may exclude coverage for services such as cosmetic surgery, weight loss programs not medically necessary, over-the-counter medications, and experimental treatments not approved by the FDA. Certain fertility treatments, elective abortions, and custodial care may also not be covered. Additionally, treatments for conditions not deemed medically necessary, like some chiropractic services or acupuncture, may be excluded. Personal comfort items and elective procedures that do not address a medical issue are typically not covered. It's essential to consult the specific plan details for comprehensive exclusions.
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