MMC Benefits Handbook
Musculoskeletal Surgery – Knee, Hip, Spine
The plan covers surgical treatment for knee, hip and spine provided by or under the direction of a physician. Claims payments are based on Blue Distinction provider participation.
Prior authorization is required. All services, including surgery, should be obtained from a recognized in-network Blue Distinction provider or cost shares will be higher (summarized below). Contact the Claims Administrator for specific details on requirements and how to find a facility.
See "Travel and Lodging" for information about reimbursement for travel and lodging expenses related to musculoskeletal surgery.