If you have questions, talk to a representative of the plan. If your plan is through your employer, talk to the personnel or benefits manager. Do not assume that a service will be covered. Be certain it will. Many managed care plans also have general exclusions, such as services or supplies that are not medically necessary or for which there are no accepted standards of medical practice.
All plans limit some services, such as mental health care and home health care.
If your child needs services that are limited by your plan, you should seek advice from your pediatrician. The recommendations of this publication are provided as a source of information. Variations, taking into account individual circumstances, may be appropriate.