Covered
Kaiser Permanente covers a variety of allergy treatments and situations, focusing on comprehensive care. This coverage typically includes allergy testing to identify specific triggers, as well as the provision of allergy shots (immunotherapy) to gradually desensitize the immune system. They also cover prescription medications such as antihistamines, nasal sprays, and inhalers for managing symptoms. In more severe cases, they may provide coverage for emergency treatments like epinephrine for anaphylactic reactions. Additionally, Kaiser Permanente may cover visits to allergists and specialists, as well as follow-up care and education on allergy management. Coverage can vary, so it's important to consult individual plans for exact details.
Uncovered
Kaiser Permanente generally does not cover services that are not medically necessary, such as cosmetic surgery or procedures conducted for aesthetic reasons. Experimental or investigational treatments that lack significant medical evidence to support their effectiveness are also typically excluded. Additionally, non-prescription drugs and over-the-counter medications are often not covered. Coverage for certain alternative therapies, like acupuncture or homeopathy, may be limited or non-existent unless deemed medically necessary and supported by evidence. Services received from out-of-network providers without prior authorization may also not be covered. Kaiser Permanente usually excludes work-related injuries or conditions that are covered under workers' compensation as well.
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