Office and Clinic Visits. This plan covers professional office, clinic and home visits. The visits can be for examination, consultation and diagnosis of an illness or injury, including second opinions, for any covered medical diagnosis or treatment plan. You may have to pay a separate copay or coinsurance for other services you get during a visit. This includes services such as x-rays, lab work, therapeutic injections, facility fees and office surgeries. Some outpatient services you get from a specialist must be prior authorized. See Prior Authorization for details. See Urgent Care Centers for care provided in an office or clinic urgent care center. See Preventive Care for coverage of preventive services. Office visits with your PCP are covered as shown in the Summary of Your Costs. See How Providers Affect Your Costs for details about selecting and getting care from a PCP. Telehealth services are covered as shown in the Summary of Your Costs. See Telehealth Virtual Care Services. Office visits for women’s health are covered as shown in the Summary of Your Costs. All other office and clinic visits are covered as shown in the Summary of Your Costs. Home Based Chronic Care
Office and Clinic Visits. This plan covers professional office, clinic and home visits. The visits can be for examination, consultation and diagnosis of an illness or injury, including second opinions, for any covered medical diagnosis or treatment plan. You may have to pay a separate copay or coinsurance for other services you get during a visit. This includes services such as x-rays, lab work, therapeutic injections, facility fees and office surgeries. Some outpatient services you get from a specialist must be prior authorized. See Prior Authorization for details. See Urgent Care Centers for care provided in an office or clinic urgent care center. See Preventive Care for coverage of preventive services.
