Covered Services
The following services are covered under the MIT Affiliate Medical Plan when rendered within
the Mit Medical department in Cambridge or Lexington.
Note: Services outside of MIT Medical are not covered under the Affiliate Medical Plan. Please
see the Summary Plan Description for the Affiliate Extended Insurance Plan for information regarding covered services under that Plan.
Allergy
Visits to an allergist, including the administration of allergy injections.
note: Allergy serum is not covered.
Audiology
Visits to an audiologist. PCP referral required.
note: Hearing aid evaluations not covered.
Cardiology
Visits to a cardiologist. Coverage includes the provision of any medically necessary stress tests.
PCP referral required.
Co-pay Immunizations
This health plan provides coverage for a number of immunizations with a $20 co-payment per immunization. Those immunizations identified as co-pay immunizations include:
– Cholera – Meningococcal
– Hepatitis A – Rabies (prophylactic)
– Hepatitis B – Typhoid (oral and injectible)
– ISG – Yellow Fever
– Japanese Encephalitis
Dermatology
Visits to a dermatologist for covered conditions.
note: Cosmetic dermatology services are not covered.
