AARP Public Policy Institute, 1998. Selected Benefits Co-payments do not apply to recipients enrolled in the HMO program. Some prescriptions do not count toward the limit. Prescriptions are not limited for children under age 21. Mental health Limits vary by service.
Most services require prior authorization.
Inpatient and outpatient services are covered. Therapy services Limits vary by type of service. Pediatric Skilled Nursing Services Must be ordered by physician and be prior approved. Limited to 25 visits per fiscal year. Qualification requires physicians certification that individual has illness with a life expectancy of six months or less if the illness runs its normal course.