WHAT IS COVERED

Care for an Ongoing Medical Condition or Specific Symptom

Sometimes you need to see a doctor for a particular condition or symptom. These visits to your doctor require no advance approval. Care that falls under this category includes:

  • Medical care for a specific condition such as high blood pressure, diabetes, asthma, etc.
  • A specific symptom, including high fever, a child with a bad cough, a breast lump, etc.
  • The need for lab tests or x-rays to help diagnose a medical condition.