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.