Other diagnostic tests and preoperative tests Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about Other diagnostic tests and preoperative tests
CT scan, positron emission tomography and nuclear cardiac imaging tests Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about CT scan, positron emission tomography and nuclear cardiac imaging tests
Tier 3 covered drugs Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about Tier 3 covered drugs
Tier 2 covered drugs Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about Tier 2 covered drugs
Syringes and needles for administration of insulin Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about Syringes and needles for administration of insulin
Prescription drugs and supplies Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about Prescription drugs and supplies
MRI, CT scan and nuclear cardiac imaging tests Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about MRI, CT scan and nuclear cardiac imaging tests
One visit per member per calendar year Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about One visit per member per calendar year
Additional visits Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about Additional visits
6 visits first year of life, 3 visits second year, 1 visit per calendar year from age 2 through 18 Member for 5 years 10 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:55 Read more about 6 visits first year of life, 3 visits second year, 1 visit per calendar year from age 2 through 18
