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<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to genetic defects discovered after adoption? [/INST] Assistant : Yes, genetic defects in adopted children can be shareable if certain conditions are met, as described in the text. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the sharing policy for expenses related to hernia treatment? [/INST] Assistant : Hernia treatment is generally shareable, but a Confirmation of No Prior Existence of Condition statement may be required during the first 36 months of membership. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to high blood pressure treatment if they have a history of treatment? [/INST] Assistant : No, if you have been treated in a hospital for high blood pressure in the past four years, expenses for high blood pressure treatment may not be shareable. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the program's stance on sharing expenses for expenses related to dental crowns? [/INST] Assistant : The text specifies that expenses for dental crowns may be shareable if they are for natural teeth and caps that are broken or injured in an accident. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to cancer treatment? [/INST] Assistant : Expenses related to cancer treatment are generally shareable, but limitations may apply if the cancer is of a type you had prior to becoming a member. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the sharing policy for expenses related to bunion treatment? [/INST] Assistant : The text mentions bunion treatment but does not specify sharing eligibility or limits. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Are expenses for expenses related to outpatient MRI imaging subject to sharing limits? [/INST] Assistant : Yes, for outpatient MRI imaging in a non-hospital environment, there is a fixed sharing limit mentioned in the text. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to heart conditions? [/INST] Assistant : Heart conditions are generally shareable unless they are related to a pre-existing heart condition you had prior to becoming a member. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the waiting period for sharing expenses related to asthma treatment? [/INST] Assistant : The text mentions asthma treatment but does not specify a waiting period for sharing. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to genetic defects discovered before membership begins? [/INST] Assistant : No, genetic defects need to meet specific conditions, and they generally need to be discovered after membership begins to be shareable. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to occupational injuries in states with Worker's Compensation laws? [/INST] Assistant : Expenses arising from occupational injuries are generally not eligible for sharing unless specific state exemptions apply, as mentioned in the text. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the program's stance on sharing expenses for expenses related to HIV contracted through irresponsible behavior? [/INST] Assistant : The text specifies that needs for HIV contracted through irresponsible behavior, such as sharing hypodermic needles for drugs, may not be shareable. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to bunion treatment? [/INST] Assistant : The text mentions bunion treatment but does not specify sharing eligibility or limits. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for colorectal cancer screening tests? [/INST] Assistant : Yes, a noninvasive colon cancer screening test like Cologuard may be shareable under specific conditions mentioned in the text. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the policy for sharing expenses related to carpal tunnel syndrome? [/INST] Assistant : Carpal Tunnel Syndrome is generally shareable, but the text states that a Confirmation of No Prior Existence of Condition statement may be required during the first 36 months of membership. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to high blood pressure treatment? [/INST] Assistant : High blood pressure treatment may be shareable if certain conditions, such as not being treated in a hospital for the past four years, are met. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Are expenses for outpatient MRIs subject to any sharing limits? [/INST] Assistant : For MRIs in a non-hospital environment, there is a fixed sharing limit mentioned in the text. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the sharing policy for expenses related to well child exams? [/INST] Assistant : The text indicates that well child exams, including immunizations, are eligible for sharing. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to hernia treatment? [/INST] Assistant : Hernia treatment is generally shareable, but the text mentions a possible Confirmation of No Prior Existence of Condition statement requirement during the first 36 months of membership. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to complications from sharable medical procedures? [/INST] Assistant : Expenses for treating complications arising from sharable medical procedures are shareable unless the complication itself is not eligible for sharing under the guidelines. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to diabetic care? [/INST] Assistant : Diabetic care is generally shareable, but the text mentions a possible Confirmation of No Prior Existence of Condition statement requirement during the first 36 months of membership. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Are cosmetic surgery expenses eligible for sharing when it's medically necessary? [/INST] Assistant : Cosmetic surgery expenses are generally not shareable, even when medically necessary, if the primary purpose is appearance alteration. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to hospice care? [/INST] Assistant : Yes, hospice care expenses are shareable, and there are no specific limits mentioned in the text. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the sharing policy for expenses related to genetic defects that have existed for more than five years without treatment? [/INST] Assistant : Genetic defects that have not required treatment, produced harmful symptoms, or deteriorated for at least five years are shareable under the text's criteria. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can expenses for non-emergency emergency room visits be shared? [/INST] Assistant : No, expenses incurred for non-emergency situations in the emergency room are generally not shareable. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to well child exams after the first year of birth? [/INST] Assistant : No, well child exams, including immunizations, are generally not shareable beyond the first year of birth. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to speech therapy for adults? [/INST] Assistant : Speech therapy expenses for adults are generally not shareable under the text's guidelines. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the program's stance on sharing expenses for non-medically necessary cesarean sections? [/INST] Assistant : Non-medically necessary cesarean sections are generally not eligible for sharing under the text's criteria. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can expenses for cosmetic surgery to remove scars or tattoos be shared? [/INST] Assistant : Cosmetic procedures related to the removal or revision of scars, tattoos, or actinic changes are generally not shareable. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Are expenses for dental implant procedures shareable? [/INST] Assistant : Implants are generally not included for sharing because they typically involve "surgery on the bone," and there are usually less expensive alternatives. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to sleep apnea treatment devices used irresponsibly? [/INST] Assistant : No, expenses related to sleep apnea treatment devices used under the influence of alcohol, recreational drugs, or other substances are generally not shareable. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the sharing policy for expenses related to back problems? [/INST] Assistant : Back problems are generally shareable, but a Confirmation of No Prior Existence of Condition statement may be required during the first 36 months of membership. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can expenses for expenses related to hearing surgery for appearance purposes be shared? [/INST] Assistant : No, expenses for hearing surgery or any other elective cosmetic surgery for appearance purposes are generally not shareable. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to expenses related to outpatient X-Ray imaging without a physician prescription? [/INST] Assistant : No, all outpatient X-Ray imaging requires a physician prescription to be eligible for sharing. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the program's stance on sharing expenses for expenses related to bunion treatment after the first 36 months of membership? [/INST] Assistant : Bunion treatment is generally shareable, but a Confirmation of No Prior Existence of Condition statement may be required during the first 36 months of membership. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to well baby visits for children over one year old? [/INST] Assistant : No, well baby visits are generally not shareable for children over one year old. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the waiting period for sharing expenses related to heart conditions? [/INST] Assistant : The text mentions that heart conditions are generally shareable, but it does not specify a waiting period. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Is there sharing for expenses related to expenses related to HIV contracted through medical procedures? [/INST] Assistant : HIV contracted due to blood transfusions or medical procedures is shareable, but not when contracted through irresponsible behavior like sharing hypodermic needles for drugs. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the policy for sharing expenses related to home health care services? [/INST] Assistant : The text mentions home health care services are shareable, but it does not specify any sharing limits. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Can members share costs for expenses related to expenses related to well child exams after the first year of birth? [/INST] Assistant : No, well child exams, including immunizations, are generally not shareable beyond the first year of birth. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, Are expenses for expenses related to occupational injuries always ineligible for sharing? [/INST] Assistant : Occupational injuries are generally not eligible for sharing, except when specific state exemptions apply. </s> |
<s>[INST] For the Healthy Life EasyShare Programs, What is the program's stance on sharing expenses for expenses related to sexually transmitted diseases contracted through responsible behavior? [/INST] Assistant : STDs contracted due to the actions of others, such as blood transfusions or medical procedures, are shareable, but not those contracted through irresponsible behavior. </s> |
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