The One Where We Learned Section 5 Benefits

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Across
  1. 4. Prior to admission to a Residential Treatment Center a _________ is requires
  2. 6. All Gender Reassignment Surgeries require prior approval
  3. 9. natural tooth, a tooth previously restored with a crown, inlay, onlay, or porcelain restoration, or treated by endodontics, is not considered a
  4. 10. Education Program, Visit limitations that apply to the Nutritional Counseling benefit do not apply to visits made in connection with
  5. 12. Injuries, Abrasions, Burns, Bites, Frostbite, Poisoning, Gunshot wounds, etc are all considered
  6. 16. Care, Allergy testing is covered under this subsection of Section 5
  7. 17. Option, Coverage that MUST use Preferred retail pharmacies or the Specialty Drug Pharmacy Program in order to receive benefits
  8. 19. 1, generic drugs
  9. 20. Health Assessment, 10-15 minute questionnaire that is a health evaluation program which could entitle a member to receive a $50 health account to be used for most qualified medical expenses
  10. 21. Suture removal is ONLY _______ when rendered by a Physician other than the original Physician
  11. 22. BlueLINK document used to describe Delivery coverage for expecting mothers
Down
  1. 1. number of prophylaxis covered per person per calendar year
  2. 2. Surgery, Bilateral Mastectomy after testing positive for BRCA mutations is considered __________
  3. 3. A, All services for Hospice Care require prior approval except when the primary insurance is
  4. 5. Season, One influenza immunization in a single _________ is covered
  5. 7. Health Substance Abuse, Treatment for abuse of, or dependence on such substances as alcohol, narcotics, and hallucinogens is covered under this portion of Section 5 in the benefits
  6. 8. Preventive, Coverage for adults age 22 and over
  7. 11. Deficiencies, B12 injections are covered for individuals with ___________
  8. 13. first 2 visits per calendar year are free for _____ behavioral health counseling visits
  9. 14. Teeth, Wisdom teeth are considered __________
  10. 15. Intrauterine insemination (IUI), Intravaginal insemination (IVI), In vitro fertilization (IVF), and sperm banking are all covered services
  11. 18. Services, BlueLINK document stating the change from the hearing aid claims limit of $2,500 3 calendar years to 5 calendar years for adults over age 22