Covered
UPMC Health Plan covers a variety of allergy-related treatments and situations. Coverage includes doctor visits for allergy consultations and the administration of allergy shots (immunotherapy), which help desensitize the body's response to allergens. Additionally, coverage encompasses diagnostic testing such as skin prick tests or blood tests to identify specific allergens. Prescription medications, including antihistamines, nasal sprays, and inhalers, designed to manage and relieve allergy symptoms, may also be covered. In more severe cases, the plan may cover emergency treatments for acute allergic reactions, including the use of epinephrine or hospital care. It's important for members to review their specific plan details, as coverage can vary.
Uncovered
UPMC Health Plan may not cover treatments and services considered experimental or unproven, including some off-label drug uses and new technologies without established efficacy. Cosmetic surgeries or procedures not deemed medically necessary, such as elective plastic surgery, are generally excluded. Additionally, care received outside of the network without prior authorization may not be covered. Personal comfort items, non-emergency medical transportation, and certain over-the-counter medications might also not be covered. Coverage for specific treatments can vary based on plan details and individual circumstances, so it is essential for members to review their plan's exclusions and limitations.
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