Covered, including breast reconstruction following mastectomy. Excluded if purely cosmetic. Similar to other plans exclusions. Other exclusions Cosmetic surgery, radial keratotomy, services to reverse surgical sterilization. Acceptable medical diagnoses and treatment of disease, injury or illness.
Covers care in emergency room.
Must be pre-authorized if patient enrolled in Carolina Access or Mecklenburg County HMO project. Sources of Information Division of Medical Assistance.