Summary of Benefits
Your child’s insurance coverage includes the following:
Medical Coverage
Physician Services
Including Primary Care, Specialty Care and Consultations
- Office visits
- Follow-up treatments
- Specialist/consultants
- X-rays
- Outpatient laboratory services
Health Maintenance and Wellness Services
Preventive Care
- Routine physicals and examinations
- Vision and hearing examinations
- Allergy testing and treatment
- Immunizations
- Health education
Outpatient Services
- Same –day outpatient surgery
- Outpatient diagnostic services
Emergency Care
- Emergency Room (Limit $1,000 per year)
Out-of-Area
- Physician and medical services
- Outpatient hospital services (no inpatient services)
Ambulance Services
- Ground or air ambulance transportation
Inpatient Services
Prescription Drug Coverage
Medication must be filled at participating pharmacies
- Brand name
- Generic
- Mail order
Dental Coverage
Services must be approved by SafeGuard Dental Plan
Diagnostic Services
Preventive Services
Restorative Services
- Amalgams
- Resin-based composites
- Stainless steel crowns
Endodontics
Oral and Maxillofacial Surgery
Behavioral Health Coverage
Services must be approved by the Holman Group Counseling, Inc
The Family Assistance Program (FAP) can help your child with:
- Difficulties at school
- Substance misuse or abuse
- Anxiety or depression
- Anger
- Difficulties with friends
- Coping with change
- Self-esteem issues
- Grief or bereavement
FAP offers the following services:
- Face-to-face evaluations with a licensed clinician at an office convenient to your location
- 8 sessions are covered with a licensed clinician
- Easy access to services and crisis counseling 24 hours a day, seven days a week via a toll-free telephone number
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For immediate assistance call us at
1-818-755-9700 to speak to a
CaliforniaKids representative |
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