Service Coverage Authorization Requirements Co-Pay: Active Duty Dependents & Retirees with Medicare Part B Co-Pay: Retirees without Medicare Part B
Cystoscopy Covered No No Yes
Custodial Care Not covered N/A N/A N/A
Cushion Limited Obtain from Mt Holly Surgical No Yes
CT Angiography Covered Yes No Yes
CT Scan (Computerized Tomography Scan) Covered No No No
Crutches Covered Obtain from Mt Holly Surgical No Yes
CPM (Continuous Passive Motion Device) Covered Yes No Yes
CPAP Machine Covered Obtain from Mt Holly Surgical No Yes
Cosmetic Surgery Limited Yes No Yes
Contraceptivesc Covered Contact Meritain Yes Yes
Contact Lenses Covered Yes - Contact Davis Vision No Yes
Commode, bedside Covered Obtain from Mt Holly Surgical No Yes
Colposcopy Covered No No Yes
Colostomy Supplies Covered No No Yes
Colonoscopy Covered No No Yes
Collar support device Covered Yes - if $2000 or greater No Yes
Cicumcision Covered Yes (except if done during admission for childbirth) No Yes
Chiropractic Treatment Not covered N/A N/A N/A
Chemotherapy Covered No No No
Chelation Therapy Limited Yes No Yes
CAT Scan (Computerized Axial Tomography Scan) Yes No No Yes
Casts Covered No No Yes
Cardiorespiratory Monitor Limited Yes No Yes
Cardiac Rehabilitation Covered Yes No Yes
Cane Covered Obtain from Mt Holly Surgical No Yes