Benefits and Criteria - Medical Supplies and Equipment

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The following Medical Supplies and Equipment lists contain the products and services provided as eligible benefits by the Non-Insured Health Benefits (NIHB) Program, along with information pertaining to benefit codes, requirements for prior approval, and applicable frequency limitations:

• 1.0 Audiology Benefits and Criteria
• 2.0 General Benefits and Criteria
• 3.0 Orthotics and Custom Footwear Benefits and Criteria
• 4.0 Oxygen Supplies and Equipment Benefits and Criteria
• 5.0 Pressure Garments and Pressure Orthotics Benefits and Criteria
• 6.0 Prosthetics Benefits and Criteria
• 7.0 Respiratory Benefits and Criteria

An A-Z Index of products within the Medical Supplies and Equipment benefit lists is also available for your reference.

Version - November 2010