Plan Benefits

You may search for benefits by entering a keyword or by clicking on the first letter of the service desired.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Keyword


Service Coverage Authorization Requirements Co-Pay: Active duty dependents & retirees with Medicare Part B Co-Pay: Retirees without Medicare Part B
Tattooing Limited to areolar/nipple tattooing post mastectomy Yes No Yes
TENS Unit (transcutaneous electrical nerve stimulator) Covered Yes No Yes
Thermometer Not covered N/A N/A N/A
Tilt Table Test Covered No No Yes
Tracheostomy Supplies Covered No No Yes
Traction Equipment Covered Yes No Yes
Transfusions, Blood and Blood Products Covered No No Yes
Transplant, Organ Covered Yes No Yes
Trapeze Covered as part of approved hospital bed set-up Obtain from Apria No Yes


*       Benefit limitations, restrictions and/or exclusions may apply. Contact member service (usfhp@svcmcny.org or 800-241-4848) for additional information.
*       Most out of network services require pre-authorization (exceptions include emergency services, routine lab work, routine diagnostic radiology)


Apria: 800-294-2275
Health Integrated: 866-390-0933
Maxor Plus Pharmacy: 800-687-0707
Maxor Mail Order Pharmacy: 866-408-2459
OrthoNet: 800-401-0062

Header photo credits: 2nd photo from left by: Seaman John Narewski, top right photo by: Petty Officer 3rd Class James Evans