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Medical Benefits Q&A

 
What are the no-cost generic drugs in 2009?
 
See the Regence and Providence lists at
/DAS/PEBB/2009Benefits/NoCostGenerics.shtml.
Note that Kaiser will continue to require a $1 copay for all generics in 2009.
 
What chronic conditions make someone eligible for four-per-year nutritional counseling?
 
In 2009, PEBB medical plans cover nutritional counseling sessions with a registered dietician. Plans cover four sessions per year for members with a chronic condition. At minimum, these conditions include the following. Plans may include other conditions; ask your plan.
  • Diabetes
  • Weight-related diagnoses
    • Obesity
    • Eating disorders: anorexia nervosa, bulimia
    • Malnutrition
    • Pediatric failure to thrive
    • Metabolic syndrome
  • Cardiovascular conditions
    • Coronary artery disease
    • Congestive heart failure
    • Hypertension
    • Hyperlipidemia
    • Myocardial infarction (heart attack)
    • Vascular disease
  • Chronic obstructive pulmonary disorder
  • Cystic fibrosis
  • Side effects of cancer treatment (chemotherapy and radiation)
  • Gastrointestinal disorders
    • Celiac disease
    • Crohn’s disease
    • Malabsorption syndrome
    • Ulcerative colitis
    • Diverticular disease
    • Ostomy
    • Irritable bowel syndrome
  • Kidney and liver disease
    • End-stage-renal disease
    • Chronic liver disease
    • Cirrhosis
  • AIDS and HIV positive diagnosis
 
 


Page updated: September 24, 2008