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Flex 2002 News:
New Limits for Chiropractic Services
Currently the Merck Medical Plan’s 90/10, 80/20, POS and
PPO options provide benefits for an unlimited number of chiropractic care
visits. Coverage is available for care provided by a licensed chiropractor
and related to the diagnosis and treatment of a misalignment or dislocation
of the spine—including any strained muscle or related ligaments. (Chiropractic
maintenance therapy is excluded.)
In keeping with clinical
protocols and industry standards—and to simplify the administration of these
benefits—starting in 2002 all non-HMO medical options will continue to cover
the same chiropractic services (described above), subject to a new calendar
year maximum of 25 chiropractic visits (per person).
What This Change Means
To You
If you are covered or are planning to elect coverage under the 90/10, 80/20,
POS or PPO option, and you are being treated by a licensed chiropractor,
keep in mind:
- Chiropractic care
for currently covered services and spinal subluxation benefits will
continue; however, effective January 1, 2002, a new calendar year maximum
of 25 visits (per person) will apply.
- Depending on the
medical option you elect, chiropractic benefits may require primary
care physician (PCP) referral and may be subject to copayments, deductibles,
coinsurance, etc.
- Non-covered expenses
associated with chiropractic care may be funded—on a pre-tax basis—through
a health care spending account. And, if you’ve previously funded your
health care account based on receiving certain chiropractic services
and coverage, you may want to adjust your 2002 contributions.
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2009 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Whitehouse Station, N.J., U.S.A.
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