Service Coverage Authorization Requirements Co-Pay: Active Duty Dependents & Retirees with Medicare Part B Co-Pay: Retirees without Medicare Part B
Home Care, Skilled Covered Yes - after initial 5 visits No Yes
Hysteroscopy Covered No No Yes
Hypnosis Not covered N/A N/A N/A
Hyperbaric Oxygen Therapy (HBOT) Covered Yes No Yes
Humidifier Covered only as part of an authorized home oxygen system Obtain from Mt Holly Surgical No Yes
Hospital Admission Covered when medically necessary Yes - elective; No - emergency No Yes
Hospice, Inpatient Limited Yes No Yes
Hospice, Home Covered Yes No N/A
Home Visit Physician Services Covered Yes No Yes
Home Infusion Covered Yes No Yes
Home Health Care, speech therapist Covered Yes No Yes
Home Health Care, skilled nurse Covered Yes No Yes
Home Health Care, physical therapist Covered Yes No Yes
Home Health Care, occupational therapist Covered Yes No Yes
Home Health Care, medical social worker Covered Yes No Yes
Home Health Care, home health aid Covered only as part of a skilled episode of home health care Yes No Yes
Home Diagnostic Laboratory Services Covered Yes No No
Home Birth Covered Yes No No
Holter Monitor Covered No No Yes
Hemodialysis Covered Yes No Yes
Heat Pad Not covered N/A N/A N/A
Heat Lamp Not covered N/A N/A N/A
Hearning Exam Covered. Limit one every 12 months for annual preventative screening. No limitation for evaluation of medical illness. No No No - annual preventative exam Yes - medical
Hearing Aid Limited (active duty dependents only) Yes No N/A
Hand Held Reacher Not covered N/A N/A N/A
Halo Covered Yes - if $2000 or greater No Yes
Hair Transplant Not covered N/A N/A N/A