top of page
ΨΥΧΗΣ ΙΑΤΡΕΙΟΝ
Point Health
Harvard Pilgrim Health Care
Mass Health
Point32Health

Hematopoietic Stem-Cell Transplantation (HSCT)

Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

Pharmaco-genomic Testing

Polygenic Risk Scores
Transcervical Radiofrequency Ablation of Uterine Fibroids

Tumor Treating Fields


Assisted Reproductive Technology Services

Bariatric Surgery

Behavioral Health Inpatient & 24 Hour Level of Care Determinations

Behavioral Health Level of Care for Non- 24 Hour/Intermediate/Diversionary Services

Cholecystectomy, Laparoscopic

Clinical Review of Dental Services

Clinical Trials: Routine Costs

Fertility Services

Home Health Care Services

Hysterectomy, Certain Electives

Implantable Neurostimulators

Lower Limb Prostheses

Medical Transportation

Mobile Cardiac Outpatient Telemetry (MCOT)

Mobile Crisis Intervention (MCI) for Youths

Neuropsycho-logical Testing & Assessment

Noncovered Investigational Services

Orthognathic Surgery for Severe Oral- Maxillofacial Functional Disorders

Osteogenesis Stimulators

Out-of-Network Coverage at the In-Network Level of Benefits

Private Duty Nursing in the Home

Outpatient Psychotherapy

Outpatient Pulmonary Rehabilitation

Procedures for the Treatment of Benign Prostatic Hypertrophy (BPH)

Procedures for the Treatment of Symptomatic Varicose Veins

Positive Airway Pressure Devices for Sleep Apnea

Power Operated Vehicles (POVs)

Power Wheelchairs

Psychological Testing and Assessment

Reconstructive & Cosmetic Surgery

Removal of Benign Skin Lesions

Sleep Studies

Speech, Hearing, & Language Services

Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Stereotactic Radiosurgery
& Stereotactic Body Radiotherapy

Surgical Procedures for the Treatment of Obstructive Sleep Apnea

Targeted Case Management Services

Temporoman-dibular Joint (TMJ) Disorder Treatment

Therapeutic Mentoring (TM)
Transcranial Magnetic Stimulation (rTMS)

Video Capsule Endoscopy





Indicates Non-covered Service
bottom of page