Covered
Tufts Health Plan offers coverage for various allergy immunotherapy treatments, provided they are deemed medically necessary. This includes allergy shots (subcutaneous immunotherapy), which are injections administered over a period of time to reduce sensitivity to allergens. Moreover, the plan may cover prescription medications that are part of an allergy treatment plan, such as antihistamines, nasal corticosteroids, and leukotriene modifiers. Additionally, some plans may include the newer sublingual immunotherapy (SLIT), which involves placing a tablet containing the allergen under the tongue. Coverage specifics, including duration and scope of treatment, can vary depending on the individual plan, so policyholders should consult their plan documents or contact Tufts Health Plan directly for precise information on allergy treatment coverage.
Uncovered
Tufts Health Plan typically may not cover services and treatments deemed as non-medically necessary, cosmetic procedures, experimental or investigational therapies, and weight control services. Furthermore, uncovered situations could include self-inflicted injuries, elective abortions, and custodial care. Coverage exclusions often extend to over-counter medications, personal comfort items, and alternative treatments like acupuncture, unless deemed essential and included in the plan. It's essential to review the specific plan details for a comprehensive list of exclusions.
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