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improves allergy benefit The states Empire Plan has a new remedy for a frustrating and expensive problem thats been plaguing some members receiving allergy injections under the plan. Routinely, the plan provides a paid-in-full benefit for the administration of an allergy injection, including the cost of the serum, when billed by a participating provider. But, when the serum was dispensed by a participating physician and then administered by a different participating physician or, in some cases, by the patient or the patients family, benefits for the take-away serum were provided under the basic medical portion of the plan and were subject to the annual deductible. Even when the deductible was met, the plan paid just 80 percent up to what it deemed a reasonable and customary charge. Now, the Empire Plan has announced that effective January 1, 2002, the take-away serum will be paid in full under the participating provider program. For more information, call United HealthCare at 1-800-942-4640. |