Other Therapy Services. (a) Cardiac rehabilitation to restore an individual’s functional status after a cardiac event. It is a program of medical evaluation, education, supervised exercise training, and psychosocial support. Home programs, on-going conditioning and maintenance are not covered.
(b) Chemotherapy for the treatment of a disease by chemical or biological antineoplastic agents, including the cost of such agents.
(c) Dialysis treatments of an acute or chronic kidney ailment which may include the supportive use of an artificial kidney machine. As a condition of coverage this Contract will not require you to receive dialysis treatment at a Participating Provider that is a dialysis facility if that facility is further than 30 miles from your home. If you require dialysis treatment and the nearest Participating Dialysis Facility is more than 30 miles from your home, you may, upon our prior written consent, receive treatment at a Non-Participating Provider that is a dialysis facility nearest to your home as Covered Service.
(d) Radiation therapy for the treatment of disease by X-ray, radium, or radioactive isotopes. Includes treatment (teletherapy, brachytherapy and intraoperative radiation, photon or high energy particle sources); materials and supplies used in therapy; treatment planning.
(e) Inhalation therapy for the treatment of a condition by the administration of medicines, water vapors, gases, or anesthetics by inhalation. Covered Services include but are not limited to: • Introduction of dry or moist gases into the lungs. • Nonpressurized inhalation treatment; intermittent positive pressure breathing treatment, air or oxygen, with or without nebulized medication. • Continuous positive airway pressure ventilation (CPAP). • Continuous negative pressure ventilation (CNP). • Chest percussion. • Therapeutic use of medical gases or drugs in the form of aerosols, and equipment such as resuscitators, oxygen tents, and incentive spirometers. • Broncho-pulmonary drainage. • Breathing exercises.
(f) Pulmonary rehabilitation to restore an individual’s functional status after an illness or injury. Covered Services include but are not limited to Outpatient short-term respiratory services for conditions which are expected to show significant improvement through short-term therapy. Also covered is inhalation therapy administered in physician’s office including but are not limited to breathing exercise, exercise not elsewhere classified, and other counseling. Pulmonary rehabilitatio...
Other Therapy Services. Additional services offered by Children’s Therapy Place include: Occupational Therapy, Physical Therapy, Speech/Language Therapy, Counseling, Tutoring and Service Coordination services as well! If you would like to find out more about these additional services please call the office.
Other Therapy Services. Benefits are available for: • Cardiac Rehabilitation – Medical evaluation, training, supervised exercise, and psychosocial support to care for You after a cardiac event (heart problem). • Chemotherapy – Treatment of an illness by chemical or biological antineoplastic agents. • Dialysis – Services for acute renal failure and chronic (end-stage) renal disease, including hemodialysis, home Hemodialysis, home intermittent peritoneal dialysis (IPD), home continuous cycling peritoneal dialysis (CCPD), and home continuous ambulatory peritoneal dialysis (CAPD). Covered Services include dialysis treatments in an outpatient dialysis Facility. Covered Services also include home dialysis and training for You and the person who will help You with home self-dialysis. We also cover equipment and medical supplies required for home Hemodialysis and home peritoneal dialysis. Coverage is limited to the standard item of equipment of supplies that adequately meets Your medical needs. • Pulmonary Rehabilitation – Includes outpatient short-term respiratory care to restore Your health after an illness or injury. • Radiation Therapy – Treatment of an illness by X-ray, radium, or radioactive isotopes. Covered Services include treatment (teletherapy, brachytherapy and intraoperative radiation, photon or high energy particle sources), materials and supplies needed, and treatment planning. • Respiratory Therapy – Includes the use of dry or moist gases in the lungs, non-pressurized inhalation treatment; intermittent positive pressure breathing treatment, air or oxygen, with or without nebulized medication, continuous positive pressure ventilation (CPAP); continuous negative pressure ventilation (CNP); chest percussion; therapeutic use of medical gases or Drugs in the form of aerosols, and equipment such as resuscitators, oxygen tents, and incentive spirometers; broncho-pulmonary drainage and breathing exercises. Benefits are provided for services and supplies in connection with Gender Transition when a Physician has diagnosed You with Gender Identity Disorder or Gender Dysphoria. Benefits are provided according to the terms and conditions of this Agreement that apply to all other medical conditions, including Medical Necessity requirements, Precertification and exclusions for Cosmetic Services. Coverage includes, but is not limited to, Medically Necessary services related to Gender Transition such as transgender surgery, hormone therapy, psychotherapy, and vocal training. Coverage is p...
