Huntington Ingalls Newport News Anthem Key ... - Benefits Connect

What is covered - 29
Shots (Injections)
Your health plan covers therapeutic injections (shots) that a provider gives to treat illness (e.g., allergy
shots) or pregnancy-related conditions. Also included is allergy serum for allergy shots. In addition,
you have coverage for immunizations and self-administered injections.
Some injections may be administered by pharmacies that are authorized to perform this service.
Contact the pharmacy to determine if they are authorized to perform this service.
Skilled nursing facility stays
Your coverage includes benefits for skilled nursing home stays. Coverage for your stay requires prior
approval. Your doctor must submit a plan of treatment that describes the type of care you need. The
following items and services will be provided to you as an inpatient in a skilled nursing bed of a skilled
nursing facility:
• room and board in semi-private accommodations;
• rehabilitative services; and
• drugs, biologicals, and supplies furnished for use in the skilled nursing facility and other medically
necessary services and supplies.
Your health plan will cover the private room charge if you need a private room because you have a
highly contagious condition or are at greater risk of contracting an infectious disease because of your
medical condition. Otherwise, your inpatient benefits would cover the skilled nursing facility’s charges
for a semi-private room. If you choose to occupy a private room, you will be responsible for paying
the daily differences between the semi-private and private room rates in addition to your copayment
and coinsurance (if any).
Custodial or residential care in a skilled nursing facility or any other facility is not covered except as
rendered as part of hospice care.
Spinal manipulation and other manual medical interventions
Your health plan covers spinal manipulation services (manual medical interventions) and associated
evaluation and management services, including manipulation of the spine and other joints, application
of manual traction and soft tissue manipulations such as massage and myofascial release.
Surgery
General surgery
Surgery charges are covered when treatment is received at an inpatient, outpatient or ambulatory
surgery facility, or doctor’s office. Your health plan will not pay separately for pre- and post-operative
services.