Some services and supplies require approval by Ingham Health Plan in order to be covered. Certain services require a special medical review so that the plan can decide if the service is medically necessary and a covered benefit.
Office visits with your PCP or a Specialist
Routine outpatient diagnostic laboratory
Routine outpatient radiology services
Ophthalmologic exams and testing (Medically necessary - no vision services)
Physical Therapy (12 visits per year)
Behavioral Health Treatment if services required beyond annual limit of 15 visits per year