While your subscription provides comprehensive primary care, it’s important to understand what’s not covered. Here’s a list of services and items that are not included in your subscription:
- Emergency Room Visits: Your subscription does not cover emergency room visits. For life-threatening emergencies, always call 911 or go to your nearest emergency care center.
- Urgent Care Centers: Visits to standalone urgent care facilities are not covered.
- Specialized Medications:
- Experimental drugs
- Non-generic medications for acute conditions
- Brand name or injectable chronic disease medications (i.e., insulin therapy)
- Specialty drugs (such as those for cancer treatment)
- Some vaccines
- Major Medical Procedures: Surgeries, Inpatient/outpatient hospital stays, Advanced cancer treatments, dialysis, and many other specialized services.
- Specialized Care:
- Ongoing care from medical specialists (neurologists) beyond initial consultations
- Long-term mental health treatment and nursing home care beyond what’s provided in our centers
- Advanced Diagnostic Procedures:
- Genetic testing
- Biopsies
- Neurology testing, EEG, EMG
- Dental and Vision Care: No dental or vision services are included.
- Alternative Therapies: Services like acupuncture, chiropractic care, or massage therapy are not included.
- Home Health Care: Nursing or medical care provided in your home is not part of this subscription.
- Cosmetic Procedures: That are not medically necessary as deemed by your Provider are not included.
- Fertility Treatments: Services related to infertility or assisted reproduction are not covered. Obstetric care (pregnancy)
Remember, your subscription is designed to cover most of your primary care needs and help manage your overall health. If you’re ever unsure whether a service is covered, please don’t hesitate to ask us. We’re here to help you understand your benefits and make the most of your subscription.
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