Other Non-Hospital Services and Supplies
The Plan also covers the following medical services
and supplies:
- X-ray and other diagnostic laboratory examinations;
- Medicines prescribed by a physician and dispensed
by a licensed pharmacist, if provided through the
Plan’s Prescription Drug Benefits;
- Surgical dressings;
- Oxygen and the rental of equipment that provides
oxygen;
- Treatment by a physiotherapist, other than the
Member or his or her spouse, child, brother, sister or
parent or the spouse of his or her parent;
- Artificial limbs, larynx and eyes;
- Electronic heart pacemaker;
- Durable equipment required for therapeutic use, such
as casts, splints, trusses, braces and crutches and the
rental of wheelchairs, hospital beds, etc. In order to be
a covered expense, the purchase of durable medical
equipment must be approved by the Cigna
care coordinator;
- Prostheses necessary in connection with a mastectomy,
as determined by the patient and attending physician;
and
- Treatments by x-ray, radium or other radioactive
substances.
