58 You may call Member Services at the number on your Identification Card for more details about these services or view the federal government’s websites, http://www.healthcare.gov/ what - are - my - preventive - care - benefits , http://www.ahrq.gov , and http://www.cdc.gov/vaccines/ recs/acip/ . In addition to the Federal requirements above, preventive coverage also includes the following Covered Services: • Routine screening mammograms. • Routine prostate specific antigen testing. • Routine colorectal cancer examination and related laboratory tests. • Follow - up colonoscopy to a colorectal cancer screening test assigned either an "A" or "B" grade by the United States Preventive Services Task Force that was positive. 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 When you require Inpatient skilled nursing and related services for convalescent and rehabilitative care, Covered Services are available if the Facility is licensed or certified under state law as a Skilled Nursing Facility. Custodial Care is not a Covere d Service. Smoking Cessation Please see “Preventive Care” section in this booklet.
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