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Enhanced benefits
Medicare Plus Blue PFFSSM allows employer groups to enhance their benefit plans by choosing additional benefits.
Medicare Plus Blue PFFS enhanced benefits are paid at the rates shown on the fee schedule (PDF).
2009 enhanced benefits
- Abortion (PDF)
- Acupuncture (PDF)
- Adult diapers and incontinence liners (PDF)
- Biofeedback (PDF)
- Bone mass measurement (PDF)
- Chiropractic care (PDF)
- Colorectal cancer screening (PDF)
- Consultation services provided by a clinical psychologist (PDF)
- Contraceptive devices (PDF)
- Dental care (PDF)
- Determination of refractive state (PDF)
- Emergency room care (PDF)
- Gradient compression stockings (PDF)
- Hearing care services (PDF)
- Home infusion therapy (PDF)
- Hospice care (PDF)
- Human organ transplant (PDF)
- Inpatient hospital care (PDF)
- Laser-assisted in-situ keratomileusis surgery (PDF)
- Non-surgical weight reduction (PDF)
- Outpatient therapy cap exceptions (PDF)
- Private duty nursing (PDF)
- Radial keratotomy (PDF)
- Religious non-medical health care institution (PDF)
- Routine hepatitis C screening (PDF)
- Screening mammography (PDF)
- Screening Papanicolaou tests and pelvic examination (PDF)
- Seasonal affective disorder lighting (PDF)
- Skilled nursing facility (PDF)
- Sterilization (PDF)
- Temporomandibular joint appliance (PDF)
- Total body skin examination (PDF)
- Travel, meals and lodging (PDF)
- Wigs (PDF)
- Weight loss surgery (PDF)
The following benefits are also in effect; the policies are being reformatted.
- Clinical trials (PDF)
- Foreign care — emergent, urgent and other services (PDF)
- Routine physical examinations (PDF)
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