Otic products containing betamethasone (Otomax) and dexamethasone. Limitations, copayments, and restrictions may apply. Generally, the recommendation is to use about 0.5 to 1 mL (10 to 20 drops) per ear. This information is not a complete description of benefits.Ĭontact the plan for more information. UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible. If you are enrolled in the UPMC Advantage Silver or Gold HSA $2,900/$0 plans, Provider will not be included in the virtual visit coverage and will be your responsibility. Prescription drug and other costs related to the visit or recommended by the 1Preventive care will be covered at 100 percent only when it is received from a participating provider and it is billed as preventive.Ī separate cost may apply if additional medical services are received during the same visit or if your preventive care appointment becomes diagnostic in nature.ĢTier 5 preventive medications on UPMC Health Plan’s Advantage Choice formulary will be covered with no cost share for members who meet certain criteria inĪccordance with the Patient Protection and Affordable Care Act of 2010.ĤOnly the virtual visit with the provider will be covered at 100 percent.
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