61 joints of the spine and the nervous system, while osteopathic therapy also focuses on the joints and surrounding muscles, tendons and ligaments. Other Therapy Services Benefits are also available for: • Cardiac Rehabilitation – Medical evaluation, training, supervised exercise, and psychosocial support to care for you after a cardiac event (heart problem). Benefits do not include home programs, on - going conditioning, or maintenance care. • Chemotherapy – Treatment of an illness by chemical or biological antineoplastic agents. See the section “Prescription Drugs Administered by a Medical Provider” for more details. • Dialysis – Services for acute renal failure and chronic (end - stage) renal disease, including hemodialysis, home intermittent peritoneal dialysis (IPD), home continuous cycling peritoneal dialysis (CCPD), and home continuous ambulatory peritoneal dialysis (CAPD). Cov ered Services include dialysis treatments in an outpatient dialysis Facility. Covered Services also include home dialysis and training for you and the person who will help you with home self - dialysis. We will not require you to receive dialysi s treatment at an In - Network Dialysis Facility if that facility is further than 30 miles from your home. If you require dialysis treatment and the nearest In - Network Dialysis Facility is more than 30 miles from your home, we will allow you to receive trea tment at a Non - Network Dialysis Facility nearest to your home as an Authorized Service. • Infusion Therapy – Nursing, durable medical equipment and Drug services that are delivered and administered to you through an I.V. in your home. Also includes Total Parenteral Nutrition (TPN), Enteral nutrition therapy, antibiotic therapy, pain care and chemotherapy. May i nclude injections (intra - muscular, subcutaneous, continuous subcutaneous). See the section “Prescription Drugs Administered by a Medical Provider” for more details. • Pulmonary Rehabilitation – Includes outpatient short - term respiratory care to restore your health after an illness or injury. • Cognitive rehabilitation therapy – Medically Necessary cognitive rehabilitation, including therapy following a post - traumatic brain injury or cerebral vascular accident. • Radiation Therapy – Treatment of an illness by x - ray, radium, or radioactive isotopes. Covered Services include treatment (teletherapy, brachytherapy and intraoperative radiation, photon or high energy particle sources), materials and supplies needed, and treatment plannin g. • Respiratory Therapy – Includes the use of dry or moist gases in the lungs, nonpressurized inhalation treatment; intermittent positive pressure breathing treatment, air or oxygen, with or without nebulized medication, continuous positive pressure ventilation (CPAP); continuou s negative pressure ventilation (CNP); chest percussion; therapeutic use of medical gases or Drugs in the form of aerosols, and equipment such as resuscitators, oxygen tents, and incentive spirometers; broncho - pulmonary drainage and brea thing exercises. Transplant Services Please s ee “Human Organ and Tissue Transplant” earlier in this section. Urgent Care Services Often an urgent rather than an Emergency health problem exists. An urgent health problem is an unexpected illness or injury that calls for care that cannot wait until a regularly scheduled office visit. Urgent health problems are not life threatening and do not call for the use of an Emergency Room. Urgent health problems include earache, sore throat, and fever (not above 104 degrees). B enefits for urgent care include:
Benefit Booklet: Plan 1 Page 61 Page 63