Home
SEARCH
Retiree Health
DB Pension Plan
DB Pension Plan BenefitTabs
DB Pension Plan Links
DC Pension Plan
DC Pension Plan Links
 email this page    printer friendly
IBEW Local 11-LA NECA Active Health Plan
Summary Plan Description (SPD)


Allergy Serum Benefit

Note: PacifiCare changed its name to UHC of California and will do business as (dba) UnitedHealthcare of California, effective May 2011. (See the March 25, 2011 announcement.)

Your medical benefits already cover allergy testing and treatment.  Additionally, allergens, including allergy serum are covered.  

Schedule of Benefits

  • In-Network Benefit when directed by your Primary Care Physician
  • Covered Benefit is allergens, including allergy serum.
  • No copay for the standard serum benefit.

Exclusions

  • Services not authorized and directed by the Participating Medical Group/I.P.A.
  • Continued allergy therapy if Member is noncompliant and/or does not keep routine appointments.
  • Urine auto injection.
  • Skin titration/Rinkel Method.