Food products modified to be low protein that are medically necessary to treat inherited diseases of amino acids and organic acids for up to $5,000 for each member in each group plan year. The member may buy these food products directly from a distributor.
Productos alimenticios modificados para que sean bajos en proteínas y que sean médicamente necesarios para tratar enfermedades hereditarias de aminoácidos y ácidos orgánicos por hasta $5,000 por cada miembro por año del plan grupal. El miembro puede comprar estos productos alimenticios directamente a un distribuidor.
Note: The member's copayment does not apply for hearing tests, maternity services, medical nutrition therapy, smoking cessation counseling, and kidney disease education services.
Nota: El copago del miembro no aplica para exámenes de la audición, servicios de maternidad, terapia médica nutricional, asesoramiento para dejar de fumar y servicios educativos sobre enfermedad renal.
(The member's copayment is waived for the provider's interpretation costs and when these covered services are furnished during a covered day surgery admission or an emergency room visit.)
(El copago del miembro no se aplica a los costos de interpretación del proveedor y cuando estos servicios cubiertos se brindan durante una admisión a cirugía ambulatoria cubierta o una visita a la sala de emergencia).
Note: The member's in-network copayment does not apply for hearing tests, maternity services, medical nutrition therapy, smoking cessation counseling, and kidney disease education services.
Nota: El copago dentro de la red del miembro no aplica para exámenes de la audición, servicios de maternidad, terapia médica nutricional, asesoramiento para dejar de fumar y servicios educativos sobre enfermedad renal.
Wellness Benefits - All members may take part of the fitness benefit and weight loss program benefit. For each membership, up to a combined total of $150 each calendar year is reimbursed for fees paid for a health club membership or for fitness classes at a health club and fees paid for hospital-based weight loss programs or for non-hospital-based weight loss programs that are designated by Blue Cross Blue Shield. The member can claim this maximum benefit for any combination of fees incurred by the subscriber and/or other members enrolled under the same family membership. However, each member claiming all or part of the fitness benefit must have paid at least four months health club fees for that calendar year.