52 Office Visits for medical care (including second surgical opinions) to examine, diagnose, and treat an illness or injury. Consultations between your Primary Care Physician and a Specialist, when approved by Anthem. Home Visits for medical care to examine, diagnose, and treat an illness or injury. Please note that Doctor and Primary Care Provider visits in the home are different than the “Home Health Care Services” benefit described earlier in this Booklet. Retail Health Clinic Care for limited basic health care services to Members on a “walk-in” basis. These clinics are normally found in major pharmacies or retail stores. Health care services are typically given by Physician’s Assistants or Nurse Practitioners. Services are limited to routine care and treatment of common illnesses for adults and children. Walk-In Doctor’s Office for services limited to routine care and treatment of common illnesses for adults and children. You do not have to be an existing patient or have an appointment to use a walk-in Doctor’s office. Urgent Care as described in “Urgent Care Services” later in this section. Virtual Visits as described under the “Virtual Visits (Telemedicine / Telehealth Visits)” section. Prescription Drugs Administered in the Office Orthotics Please see “Durable Medical Equipment (DME), Medical Devices, and Supplies. Outpatient Facility Services Your Plan includes Covered Services in an: • Outpatient Hospital, • Freestanding Ambulatory Surgery Center, • Mental Health / Substance Use Disorder Facility, or • Other Facilities approved by the Plan. Benefits include Facility and related (ancillary) charges, when proper, such as: • Surgical rooms and equipment, • Prescription Drugs, including Specialty Drugs, • Anesthesia and anesthesia supplies and services given by the Hospital or other Facility, • Medical and surgical dressings and supplies, casts, and splints, • Diagnostic services, • Therapy services. Physical Therapy Please see “Therapy Services” later in this section. Preventive Care
2025 Retiree Indemnity Plan Booklet Page 52 Page 54