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Blue Cross Community Centennial covers your physical health care needs. Plan benefits include:
Here are just some of the services covered when medically necessary:
|Covered Service||Does service need prior authorization?|
|Office visits to PCPs or specialists||No|
|Diabetes self-management services||Depends on the exact service|
|Podiatry (foot and ankle) services||Depends on the exact service|
|Routine exams for kids and teens||No|
|Pregnancy related and maternity services||No|
|Covered services provided in school-based health clinics||No|
|Medical supplies; durable medical equipment||Medical supplies that cost $1,000 or more require prior authorization.|
|Ground and air ambulance||Ground – No
Air – Yes
|Hospital services (inpatient, skilled nursing)||Yes|
|Hospital services (outpatient)||No (except some outpatient tests such as CT scans or MRI may require prior authorization)|
|Surgery, including pre- and post-operative care||Depends on the surgery. All transplants and pre-transplant evaluations require prior authorization|
|Lab tests, x-rays, EKGs, medical imaging||Depends on the exact service|
|Special rehab services such as physical therapy, speech therapy, cardiac rehab, etc.||Yes|
|Home health care and IV services||Yes|
|Chemotherapy and radiation therapy||No|
To learn more about covered medical benefits, see the Member Handbook.
Don't forget to talk with your PCP about how to stay fit and eat right. There are recommended health screenings for adults and kids. Here are guidelines to help you manage your care. Ask your doctor about what screenings you might need.