Pasco County Schools
[pic]May 20, 2015 [pic]
Patty Nguyen, On-Site Rep.
Phone: 813-794-2492
727-774-2492
352-524-2492
Dear Patty:
Q: I have severe seasonal allergies. My doctor wants to start me on a series of allergy shots. What is my copay for these services?
A: The copay varies by plan. Please refer to chart below:
|Plan |Copay/Visit |
|BlueCare HMO Basic |$10 |
|BlueCare HMO Premium |$20 |
|BlueOptions PPO Standard |$20 |
Q: Is allergy treatment covered under my plan?
A: Yes, Allergy treatment, including testing and desensitization therapy (e.g., injections), and the cost of the hyposensitization serum is covered based on medical necessity. The ordering physician needs to complete a Certificate of Medical Necessity form. ..\MCG\CMN_Allergy_Testing_Final.doc. Member cost share varies by plan.
Q: My child was diagnosed with asthma. Her pediatrician wrote a script for a nebulizer. Is the nebulizer covered under my plan? What’s the process on obtaining the nebulizer?
A: Nebulizers fall under the benefit category of “Durable Medical Equipment”. The Pediatrician will need to contact CareCentrix at 1-877-561-9910 to submit the request. CareCentrix coordinates Durable Medical Equipment and Home Health Care services for Florida Blue. A copay does not apply for approved Durable Medical Equipment under the HMO Basic and Premium Plans. Under the PPO Standard Plan there is a $250 deductible and 20% cost share.
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