evenity Bone injection

[vic120]

How does ACA plans cover these type of drugs that are doctor administered?

 

[Jim Wright]

How does ACA plans cover these type of drugs that are doctor administered?

Usually if the provider/facility is in network, any procedure/drug they perform will be covered as long as the prior auth, etc is followed by the provider

 

[vic120]

Usually if the provider/facility is in network, any procedure/drug they perform will be covered as long as the prior auth, etc is followed by the provider

OK because he is asking for his wife due to the fact that his current BC plan from employer is not covering

Its a bone injection she needs because of cancer treatments

Is ACA dif than employer group?

 

[Jim Wright]

OK because he is asking for his wife due to the fact that his current BC plan from employer is not covering

Its a bone injection she needs because of cancer treatments

Is ACA dif than employer group?

Hard to say. Depends on if the plan is fully insured/self funded/etc. Those plans get pretty specific on what they cover and won't. It would still be worth an email to the ACA carrier rep or have your rep from your FMO find the answer for you.