Service Coverage Authorization Requirements Co-Pay: Active Duty Dependents & Retirees with Medicare Part B Co-Pay: Retirees without Medicare Part B
Out of Network healthcare services Limited Yes No Yes
Over the Counter Medications (OTC) Not covered N/A N/A N/A
Orthotics Limited Yes -if over $1000 No Yes
Oxygen Equipment, Stationary and Portable Covered Obtain from Mt Holly Surgical No Yes
Overbed Table Not covered N/A N/A N/A
Oral Surgery Limited Yes No Yes
Open MRI Covered Yes No No
Occupational Therapy, outpatient Covered Contact Orthonet No Yes
Occupational Therapy, inpatient Covered Yes No No (included under admission)
Occupational Therapy, home care Covered Yes No Yes
Obstetrical Care Covered No No No