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  • Coverage Documents

Coverage documents
Coverage documents explain what your plan contract includes and/or does not include, how to access care, what services require preauthorization, and more.

Go to Health plan coverage and cost information, and click on Coverage documents.

  • Briefly discusses causes of burns, including chemicals, UV light, hot steam, and flash fires. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses nonpoisonous and poisonous snake and lizard bites and the reactions that can occur. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Discusses symptoms of the flu, which is caused by the influenza virus. Covers how it's spread and when people who have the flu are contagious. Discusses prevention, including getting the influenza vaccine. Offers home treatment tips.
  • Briefly discusses foreign objects in eye and protective eyewear. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses finger, hand, and wrist problems caused by overuse or health conditions, such as arthritis. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Discusses hospice care, which includes medical, emotional, and spiritual care for people who are in the last stages of a serious illness. Guides through decision to seek hospice care. Covers how to choose a program. Covers end-of-life legal issues.
  • Briefly discusses common problems from tattoos, including infection, skin reactions, and scarring. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses how fishhook injuries happen. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses tick bites and some of the diseases they can transmit. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses breast changes during puberty, noncancerous breast changes, and when problems may need follow-up care. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses problems like swelling or arm pain caused by overuse or health conditions such as arthritis. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses what types of objects can get in the ear and what increases the risk of foreign bodies in the ear. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses types of objects that can get stuck in the nose and possible symptoms. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses causes of swimmer's ear and common symptoms. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Discusses the causes and symptoms of bladder cancer. Covers how it is diagnosed and treatment options, including surgery, chemotherapy, and radiation therapy. Offers home treatment suggestions to manage side effects like nausea and trouble sleeping.
  • Humor therapy (sometimes called therapeutic humor) uses the power of smiles and laughter to aid healing. Humor therapy helps you find ways to make yourself (or others) smile and laugh more. When you think of humor therapy, picture clowns in the children's ward of a hospital cheering up sick children. Some hospitals now...
  • Briefly discusses possible problems that may occur after surgery. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • A cochlear implant is a small electronic device that can help "make" sound if you have a certain type of severe hearing loss in both ears. The implant does the job of the damaged or absent nerve cells that in a normal ear make it possible to hear. Cochlear implants can be programmed according to your specific needs and...
  • Provides links to how-to information on special health concerns of seniors. Includes healthy aging, sexuality, hearing loss, osteoporosis, and walking for fitness. Also covers writing an advance directive.
  • Briefly discusses causes of back problems or injuries, including common activities, sudden injuries, overuse, and health conditions that may cause problems. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses common causes of burns, such as heat, chemicals, and friction, and the seriousness of burn depth and size. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses common toe, foot, and ankle injuries caused during sports or recreational activities, work-related tasks, and work or projects around home. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses common causes of shoulder injuries and problems from sports, hobbies, or work-related issues, including sudden injuries and those caused by overuse. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses common injuries such as a chipped or broken tooth; mouth pain; and a puncture or tear in your lip, tongue, or inside your mouth. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses symptoms of leg injuries caused during sports or recreational activities, work-related tasks, and work or projects around home. Includes bruises, swelling, sprains, pulled muscles, and broken bones. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
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