More than 6 visits require outpatient treatment plan for approval. No coverage for routine foot care. However, coverage for foot care determined to be medically necessary will be provided with proper authorization. Routine foot care is not covered. Prior authorization is required.
Prior authorization is required.
This benefit covers dependents as well as employees. Unlimited follow-up visits. No referral required. Under age 50 requires referral from your Primary Care Provider. No coverage is available.