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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 possible causes of mouth, tongue, or lip problems, including infections, sores, and health conditions. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Helping someone with personal care involves many daily tasks. If it's been a while since you did day-to-day caregiving—or you've never done it—you might not know all the things you need to do and how to do them. Learn more This information gives an overview of the daily or weekly care a person needs. Bathing...
  • What is teen substance use? Many teens try substances like alcohol or drugs. Some try them only a few times and stop. Teens who keep using substances may form a strong need for them. This can lead to substance use disorder. Substances teens may try include tobacco, alcohol, marijuana or other drugs, household products...
  • Briefly discusses the common causes of nausea and vomiting, including stomach illnesses, infections, health conditions, and medicines. 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 causes that make a young baby or child cry. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Offers tips for people caring for someone chronically ill or disabled. Tips for caregivers include: take care of yourself, let the person do as much as he or she can, and ask for help.
  • Briefly discusses types of puncture wounds and the risk of infection. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses how earwax works to protect the ear canal and what may cause problems in the ear canal. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Being active is an important part of growing up healthy. But active kids can get hurt, especially when they don't know some basics about safety. As a parent, you can't protect your child from every injury. But you can help your child keep safety in mind. Getting a sports physical A sports physical can tell you if your...
  • Weaning is the process of switching your baby from breastfeeding to bottle-feeding, or from a breast or bottle to a cup or solid foods. Weaning usually works best when it is done gradually over several weeks, months, or even longer. There is no right or wrong time to wean. It depends on how ready you and your baby are...
  • Briefly discusses types of scrapes and how they heal. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • What is Down syndrome? Down syndrome is a genetic condition. It affects childhood growth and development. People who have it may share similar features and health issues. They may learn to talk later than other children and have some intellectual disability. But every person's experience is different. And everyone with...
  • What is oral cancer? Oral cancer is the growth of abnormal cells in any part of the mouth or lips. Most oral cancers start in the lining of the lips or mouth where you have thin, flat cells called squamous cells. This type of cancer may also be called oral cavity cancer or oropharyngeal cancer. What puts you at risk...
  • 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.
  • What are energy drinks? Energy drinks are drinks that claim to improve energy. Their main ingredient is caffeine. They usually contain sugar, which adds calories. They also may contain guarana plant extract (which is similar to caffeine), taurine (an amino acid), and vitamins. Are energy drinks safe for adults? The main...
  • Info on healthcare professionals with training in specific areas. Links to info on physicians and other specialty doctors. Also includes links to info on other health professionals like physician assistants. Offers tips on preparing for appointments.
  • Briefly discusses common causes of minor and serious facial injuries. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses causes of facial problems, including skin conditions and infections, and health conditions with facial symptoms. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Briefly discusses common causes of ear injuries and problems, including infection, sports injuries, and loud noises. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Gives an overview of thumb-sucking, how it is treated, and how to support a child.
  • What is bad breath? Everybody has bad breath from time to time, especially first thing in the morning. Saliva has a cleaning action that helps reduce or get rid of bad breath. When you have less saliva, bacteria can grow, causing bad breath. The flow of saliva almost stops during sleep. Many other things can cause bad...
  • What is mitral valve regurgitation? Mitral valve regurgitation is a problem that happens when the mitral valve does not close tightly enough. The closed valve lets blood leak (regurgitate) from the lower chamber of the heart back into the upper chamber. Your heart has to work harder to pump this extra blood. Primary...
  • Briefly discusses possible causes of heartburn and the severity of symptoms. Offers interactive tool to help decide when to seek care. Also offers home treatment tips.
  • Discusses temporomandibular disorders (TMD, TMJ). Describes symptoms, including problems with jaw movement, pain in and around the jaw joints, and headaches caused by bruxism. Discusses treatment with occlusal splints. Offers home treatment tips.
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