COLORECTAL CANCER EXAMINATIONS AND LABORATORY TESTS. Alliant follows the recommendation of the United States Preventive Task force, grade A and B to determine the ages for preventive colorectal screenings. Covered Services include colorectal cancer screening examinations and laboratory tests specified in the current American Cancer Society guidelines for colorectal cancer screening (which are not considered investigational).
COLORECTAL CANCER EXAMINATIONS AND LABORATORY TESTS. Covered Services include colorectal cancer screening examinations and laboratory tests specified in current American Cancer Society guidelines for colorectal cancer screening, which are not considered investigational. COMPLICATIONS OF PREGNANCY Benefits are provided for Complications of Pregnancy resulting from conditions requiring Hospital confinement when the pregnancy is not terminated and whose diagnoses are distinct from pregnancy but are adversely affected by pregnancy or are caused by pregnancy. Benefits for a normal or difficult delivery are not covered under this provision. Such benefits are determined solely by the Maternity Care section of this Contract. In-network and out-of-network cost-sharing apply accordingly. CONSULTATION SERVICES Covered when the special skill and knowledge of a consulting Physician is required for the diagnosis or treatment of an illness or Injury. DIABETES We cover Medically Necessary equipment, supplies, pharmacological agents, and outpatient self-management training and education, including nutritional therapy for individuals with insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and non-insulin-using diabetes as prescribed by the Physician. Covered Services for outpatient self-management training and education must be provided by a certified, registered or licensed health care professional with expertise in diabetes. DIALYSIS TREATMENT Dialysis treatment is covered if Prior Authorization has been obtained. If an Out-of-Network Provider is elected, then out-of- network benefits apply. DURABLE MEDICAL EQUIPMENT Your plan will pay the rental charge up to the purchase price of the equipment. In addition to meeting criteria for Medical Necessity and applicable Prior Authorization requirements, the equipment must also be used to improve the functions of a malformed part of the body or to prevent or slow further decline of the Member’s medical condition. The equipment must be ordered and/or prescribed by a Physician and be appropriate for in-home use. The equipment must meet the following criteria: • It can stand repeated use; • It is manufactured solely to serve a medical purpose; • It is not merely for comfort or convenience; • It is normally not useful to a person not ill or injured; • It is ordered by a Provider; • The Provider certifies in writing the Medical Necessity for the equipment. o The Provider also states the length of time the equipment will be required; o We may require proof at any t...
