46 Diabetes Equipment, Education, and Supplies Benefits include all Physician prescribed Medically Necessary equipment and supplies used for the management and treatment of diabetes. Screenings for gestational diabetes are covered under Preventive Care. Also covered is diabetes self - management training if you have insulin dependent diabetes, non - insulin dependent diabetes, or elevated blood glucose levels induced by pregnancy or another medical condition when: Medically Necessary; Ordered in writing by a Physician , a podiatrist, an advanced practice registered nurse or a physician assistant; and Provided by a Health Care Professional who is licensed, registered, or certified under state law. For the purposes of this provision, a "Health Care Professional" means the Physician or podiatrist ordering the training or a Provider who has obtained certification in diabetes education by the American Diabetes Association. 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 R esonance S pectroscopy (MRS) Nuclear Cardiology PET scans

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