57 Preventive Care For Members Diagnosed With Retinopathy screening Diabetes Peak flow meters Asthma Glucometers Diabetes Hemoglobin A1c testing Diabetes International Normalized Ratio (INR) testing Liver disease and/or bleeding disorders Low - density Lipoprotein (LDL) testing Heart disease Statins Heart disease and/or diabetes Please refer to the Schedule of Benefits for further details on how benefits will be paid. Prosthetics Please see “Durable Medical Equipment (DME), Medical Devices, and Supplies” earlier in this section. Pulmonary Therapy Please see “Therapy Services” later in this section. Radiation Therapy Please see “Therapy Services” later in this section. Rehabilitation Services Benefits include services in a Hospital, free - standing Facility, Skilled Nursing Facility, or in an outpatient day rehabilitation program. Covered Services involve a coordinated team approach and several types of treatment, including skilled nursing care, physical, occupational, and speech therapy, and services of a social worker or psychologist. To be Covered Services, rehabilitation services must involve goals you can reach in a reasonable period of time. Benefits will end when treatment is no longer Medically Necessary and you stop progressing toward those goals. Respiratory Therapy Please see “Therapy Services” later in this section. Skilled Nursing Facility