Therapeutic Treatments - Outpatient. Therapeutic treatments received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office, including: • Dialysis (both hemodialysis and peritoneal dialysis). • Intravenous Chemotherapy or other intravenous Infusion Therapy. • Radiation oncology. • Blood, Blood Products, derivatives, components, biologics, and serums to include autologous services, whole blood, red blood cells, platelets, plasma, immunoglobin and albumin. Covered Health Care Services include medical education services that are provided on an outpatient basis at a Hospital or Alternate Facility by appropriately licensed or registered health care professionals when both of the following are true: • Education is required for a disease in which patient self-management is a part of treatment. • There is a lack of knowledge regarding the disease which requires the help of a trained health professional. Benefits include: • The facility charge and the charge for related supplies and equipment. • Physician services for anesthesiologists, pathologists and radiologists. Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.
Therapeutic Treatments - Outpatient. Therapeutic treatments received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office, including: • Dialysis (both hemodialysis and peritoneal dialysis) furnished for you by a Hospital; or by a community health center; or by a free-standing dialysis facility; or by a Physician. This coverage also includes home dialysis when it is furnished under the direction of a covered provider. Your home dialysis coverage includes: non-durable medical supplies (such as dialysis membrane and solution, tubing, and drugs that are needed during dialysis); the cost to install the dialysis equipment in your home; and the cost to maintain or to fix the dialysis equipment. • Intravenous chemotherapy or other intravenous infusion therapy. Sample • Radiation oncology. • Radiation and x-ray therapy that is furnished for you by a Physician. This includes: radiation therapy using isotopes, radium, radon, or other ionizing radiation; and x-ray therapy for cancer or when used in place of surgery. • Drug therapy for cancer (chemotherapy). Covered Health Care Services include medical education services that are provided on an outpatient basis at a Hospital or Alternate Facility by appropriately licensed or registered health care professionals when both of the following are true: • Education is required for a disease in which patient self-management is a part of treatment. • There is a lack of knowledge regarding the disease which requires the help of a trained health professional. Benefits include: • The facility charge and the charge for related supplies and equipment. • Physician services for anesthesiologists, pathologists and radiologists. Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.
Therapeutic Treatments - Outpatient. Therapeutic treatments received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office, including: • Dialysis (both hemodialysis and peritoneal dialysis). • Intravenous Chemotherapy or other intravenous infusion therapy. • Radiation oncology. Covered Health Care Services include medical education services that are provided on an outpatient basis at a Hospital or Alternate Facility by appropriately licensed or registered health care professionals when both of the following are true: • Education is required for a disease in which patient self-management is a part of treatment. • There is a lack of knowledge regarding the disease which requires the help of a trained health professional. Benefits include: • The facility charge and the charge for related supplies and equipment. • Physician services for anesthesiologists, pathologists and radiologists. Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.
Therapeutic Treatments - Outpatient. SAMPLE Therapeutic treatments received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office, including: • Dialysis (both hemodialysis and peritoneal dialysis). • Intravenous Chemotherapy or other intravenous infusion therapy. • Radiation oncology. Covered Health Care Services include medical education services that are provided on an outpatient basis at a Hospital or Alternate Facility by appropriately licensed or registered health care professionals when both of the following are true: • Education is required for a disease in which patient self-management is a part of treatment. • There is a lack of knowledge regarding the disease which requires the help of a trained health professional. Benefits include: • The facility charge and the charge for related supplies and equipment. • Physician services for anesthesiologists, pathologists and radiologists. Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services. Benefits also include the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome (PANDAS/PANS), and tick-borne disease.
Therapeutic Treatments - Outpatient. Therapeutic treatments received on an outpatient basis at a Hospital or Alternate Facility or in a Physician's office, including: • Dialysis (both hemodialysis and peritoneal dialysis). • Intravenous Chemotherapy or other intravenous infusion therapy. • Radiation oncology. • Antineoplastic Therapy. Covered Health Care Services include medical education services that are provided on an outpatient basis at a Hospital or Alternate Facility by appropriately licensed or registered health care professionals when both of the following are true: • Education is required for a disease in which patient self-management is a part of treatment. • There is a lack of knowledge regarding the disease which requires the help of a trained health professional. Benefits include: • The facility charge and the charge for related supplies and equipment. • Physician services for anesthesiologists, pathologists and radiologists. Benefits for other Physician services are described under Physician Fees for Surgical and Medical Services.
