Humidifier

A health care professional must provide evidence of medical necessity for the cost of a humidifier to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and that the expense is for treatment of a medical condition with the request for reimbursement.

Homeopathic Care

A health care professional must provide evidence of medical necessity for the cost of homepathic care to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and that the expense is for treatment of a medical condition with the request for reimbursement. Treatment must also be perfromed by a licensed healthcare professional.

Hair Removal / Transplant

A health care professional must provide evidence of medical necessity for the cost of hair removal or transplant to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and that the expense is for treatment of a medical condition with the request for reimbursement.

Exercise Equipment, Exercise Program

A health care professional must provide evidence of medical necessity for the cost of exercise equipment or program to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement. 
Note:The cost of exercise equipment or an exercise program for improvement of general health is not an eligible medical expense.

Excess Skin Removal

A health care professional must provide evidence of medical necessity for the cost of excess skin removal to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement. 
Note: Removal of excess skin soley for the enhancement of appearance is not eligible.

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Health plans must communicate effectively with all members, regardless of their language. The Affordable Care Act (ACA) mandates that claims ...

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