Medical
Supplies – 90%
Benefits are
provided for the following items prescribed by a physician if the individual has
an immediate medical need: sterile surgical dressings; casts; splints; surgical
and orthopedic appliances; up to four pair of compression support stockings
(i.e., Jobst) per calendar year; catheters; syringes; and formulas for the
treatment of
phenylketonuria. Benefits
are
not
provided for:
- A
supply received or ordered when a plan benefit is not in effect or the
individual is not covered under this plan.
- Items
purchased or used more frequently than considered reasonable by the
plan.
- Incontinence
supplies, ear plugs, enemas, alcohol swabs, cotton balls, or like
supplies.
- Freight,
postage or delivery charges.
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