MMC Benefits Handbook
Occupational Therapy
NOTE: Out-of-network services are not covered under the Anthem BCBS Narrow Network (National Blue High Performance Network (Blue HPN Non-Tiered)) except for urgent and emergency care.
The plan covers the treatment to:
  • Learn or re-learn daily living skills (e.g., bathing, dressing and eating) or compensatory techniques to improve the level of independence in the activities of daily living
  • Provide task-oriented therapeutic activities designed to significantly improve, develop or restore physical functions lost or impaired as a result of a disease.
Coverage includes services, treatment, education testing or training related to developmental delays.
Prior authorization for occupational therapy is recommended. Contact the Claims Administrator for specific details.