| HMO | Therapeutic Treatment Services |
| Aetna US Healthcare | Covers: Radiation, Chemotherapy, Respiratory Therapy.
Cost Sharing: Copayments may apply. |
| Blue Cross Blue Shield | Covers: Radiation, Chemotherapy, Respiratory Therapy services for conditions that are expected to show significant improvement through short-term respiratory therapy, as determined by the PCP.
Limits: Visit limits may apply. Respiratory therapy limited to a maximum of 30 visits per calendar year. Cost Sharing: Copayment applies. |
| CIGNA / Healthsource | Covers: Radiation, Chemotherapy, Respiratory Therapy |
| Doctors Health Plan | Covers: Radiation, Chemotherapy, Respiratory Therapy
Cost Sharing: Copayment may apply. |
| Generations | Covers: Radiation, Chemotherapy, Respiratory Therapy that is part of a comprehensive pulmonary therapy program or a home health program. |
| Optimum Choice | Covers: Radiation, Chemotherapy, Respiratory Therapy |
| PARTNERS | Covers: Radiation, Chemotherapy, Respiratory Therapy |
| Coventry/Principal Health Care of the Carolinas | Covers: Radiation, Chemotherapy (Covered in full when referred to an in network provider for services.)
Covers: Short term respiratory therapy with limits Limits: Therapy is limited to conditions that are expected to show significant improvement in 60 days. Benefits for therapy and/or treatment will be discontinued if it is determined within the first two weeks that the member’s condition will not significantly improve. |
| QualChoice | Covers: Radiation, Chemotherapy, Respiratory Therapy
Cost Sharing: Copayment may apply. |
| The Wellness Plan of North Carolina, Inc. | Covers: Radiation and chemo-therapy. Respiratory therapy for patients who have undergone lung transplants, and when otherwise approved by the plan. |
| United HealthCare | Covers: Short-term respiratory therapy provided under the direction of a participating provider.
Limits: Limited to 20 visits per member per calendar year. Requires prior approval. Inpatient services are covered under the medical inpatient benefits. Cost Sharing: Copayments may apply. Covers: Radiation and Chemotherapy Limits: High dose chemotherapy with autologous or allogenic bone marrow transplant is limited to one treatment per lifetime and may be excluded. |
| WellPath | Covers: Radiation, Chemotherapy, Respiratory Therapy |