The member's office visit copayment is waived when medical care services are furnished in the member's home or at a hospital (unless the provider's office is located at or professional charges are billed by the hospital).
The member's office visit copayment is waived when medical care services are furnished at a hospital (unless the provider's office is located at or professional charges are billed by the hospital) or in the member's home.
The member's office visit copayment is waived when medical care services are furnished at a hospital (unless the provider's office is located at or professional charges are billed by the hospital).
Food products modified to be low protein that are medically necessary to treat inherited diseases of amino acids and organic acids for up to $5,000 for each member in each group plan year. The member may buy these food products directly from a distributor.
Note: The member's copayment does not apply for hearing tests, maternity services, medical nutrition therapy, smoking cessation counseling, and kidney disease education services.
(The member's copayment is waived for the provider's interpretation costs and when these covered services are furnished during a covered day surgery admission or an emergency room visit.)
Note: The member's in-network copayment does not apply for hearing tests, maternity services, medical nutrition therapy, smoking cessation counseling, and kidney disease education services.
Wellness Benefits - All members may take part of the fitness benefit and weight loss program benefit. For each membership, up to a combined total of $150 each calendar year is reimbursed for fees paid for a health club membership or for fitness classes at a health club and fees paid for hospital-based weight loss programs or for non-hospital-based weight loss programs that are designated by Blue Cross Blue Shield. The member can claim this maximum benefit for any combination of fees incurred by the subscriber and/or other members enrolled under the same family membership. However, each member claiming all or part of the fitness benefit must have paid at least four months health club fees for that calendar year.