MMC Benefits Handbook
Gene Therapy Services
Your Plan includes benefits for gene therapy services, when Anthem approves the benefits in advance through Precertification. To be eligible for coverage, services must be Medically Necessary and performed by an approved Provider at an approved treatment center. Even if a Provider is a Network Provider for other services they may not be an approved Provider for certain gene therapy services. Please call the Claims Administrator to find out which providers are approved Providers. When calling Member Services, ask for the transplant case manager for further details.
Services Not Eligible for Coverage
Your Plan does not include benefits for the following: