44 Diagnostic Services Your Plan includes benefits for tests or procedures to find or check a condition when specific symptoms exist. Tests must be ordered by a Provider and include diagnostic services ordered before a surgery or Hospital admission. Benefits include the follow ing services: Diagnostic Laboratory and Pathology Services • Laboratory and pathology tests, such as blood tests. • Genetic tests, when allowed by the Plan. Diagnostic Imaging Services and Electronic Diagnostic Tests • X - rays / regular imaging services • Ultrasound • Electrocardiograms (EKG) • Electroencephalography ( EEG) • Echocardiograms • Hearing and vision tests for a medical condition or injury (not for screenings or preventive care) • Tests ordered before a surgery or admission. Advanced Imaging Services Benefits are also available for advanced imaging services, which include but are not limited to: • CT scan • CTA scan • Magnetic Resonance Imaging ( MRI) • Magnetic Resonance Angiography (MRA) • Magnetic Resonance Spectroscopy (MRS) • Nuclear Cardiology • PET scans • PET/CT Fusion scans • QCT Bone Densitometry • Diagnostic CT Colonography The list of advanced imaging services may change as medical technologies change. Dialysis See “Therapy Services” later in this section. Durable Medical Equipment (DME), Medical Devices, and Supplies Your Plan includes benefits for durable medical equipment and medical devices when the equipment meets the following criteria: • Is meant for repeated use and is not disposable. • Is used for a medical purpose and is of no further use when medical need ends. • Is meant for use outside a medical Facility. • Is only for the use of the patient.
2026 Anthem Certificate Plan D Page 44 Page 46