Your Coverage - Facts & Questions

Q: What medical services/benefits are paid for under the Edison HealthCARE program?

A: Most of the medical services associated with the surgery are covered – including coinsurance, co-pays and deductibles. Most medically necessary services related to the condition after discharge from the hospital – including physical therapy, follow-up visits or additional surgeries will also be covered under this program.


Q: What services/benefits are NOT covered under this program?

A: The following are not covered under this program: any elective outpatient services not related to the covered program services; convenience items (i.e. telephone, movies, hotel room mini-bar, laundry services, etc.); travel to and from the home airport; costs associated with unapproved flight changes.


Q: What travel expenses are covered?

  • Airfare or travel allowance for the participant and a companion
  • Lodging for the member before and after surgery and lodging for the companion for their entire stay
  • Daily food allowance
  • Concierge service to arrange travel and lodging
  • Transportation between the airport, hotel and Smart Care Center


Q: Can a participant choose which doctors/hospital to use for these services?

A: No. The Smart Care Medical Center will be selected by the Edison Healthcare team based upon the participant's individual medical need and the medical center's area of expertise.