Wellcare Dual Liberty (HMO D-SNP) (001): Outpatient Diagnostic Tests and Therapeutic Services and Supplies
Includes therapeutic radiology services, diagnostic radiology services, diagnostic procedures and tests, surgical and splinting supplies, and lab services.
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How To Receive
Details on how to apply
Covered services include, but are not limited to:
X-rays
Radiation (radium and isotope) therapy including technician materials and supplies
Surgical supplies, such as dressings
Splints, casts and other devices used to reduce fractures and dislocations
Laboratory tests
Blood - including storage and administration. Coverage of whole blood and packed red cells begins with the first pint of blood that you need. All other components of blood are covered beginning with the first pint used.
Other outpatient diagnostic tests – Non-radiological diagnostic services (e.g., allergy test or EKG)
Other outpatient diagnostic tests (includes complex tests such as CT, MRI, MRA, SPECT) - Radiological diagnostic services, not including flat film X-rays
Diagnostic colonoscopy
Contact the Member Services at 1-800-431-9007. (TTY users should call 711) to address any additional questions
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Covered services include, but are not limited to:
X-rays
Radiation (radium and isotope) therapy, including technician materials and supplies
Surgical supplies, such as dressings
Splints, casts, and other devices used to reduce fractures and dislocations
Laboratory tests
Blood - including storage and administration*
Other outpatient diagnostic tests
*Coverage of whole blood and packed red cells begins only with the fourth pint of blood needed—costs for the first 3 pints of blood in a calendar year must be paid out-of-pocket or the blood must be donated from self or by someone else. All other components of blood are covered beginning with the first pint.
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