Note: See Section 5(c) for our payment levels for covered cancer screenings and ultrasound screening for abdominal aortic aneurysm billed for by Member or Non-member facilities and performed on an outpatient basis. See pages 121-122 for our coverage of other costs associated with clinical trials. (Childrens eustachian tubes are shaped this way, which is part of the reason why ear issues are more common in kids, according to the Mayo Clinic.) Breast pump limited to one per calendar year for members who are pregnant and/or nursing, Tubal ligation or tubal occlusion/tubal blocking procedures only. Manns A, Miralles R, Santander H, et al. Dr. Dylina practices in Merced, Calif. Nonsurgical treatment for amblyopia and strabismus, for children from birth through age 21. When you have double coverage, one plan normally pays its benefits in full as the primary payor and the other plan pays a reduced benefit as the secondary payor. (See page 128 for more information about agents.), Hearing tests related to illness or injury. Emergency Services/Accidents, Section 5(e). Tim has completed several external physiotherapy courses which have given him further knowledge of treatment modalities including advanced manual therapy skills, dry needling, hydrotherapy, and Pain Science Education. Changes for 2022 Section 3. Using lower cost preferred generic drugs will provide you with a high-quality, cost-effective prescription drug benefit. Mariellas passion is to promote and facilitate exercise in an engaging and unique manner, upon fostering strong relationships with clients. Outpatient surgicaland treatment services performed and billed by a facility, such as: Outpatient diagnostic testing performed and billed by a facility, such as: Note: For outpatient facility care related to maternity, including outpatient care at birthing facilities, see Maternity Facility, page 71 in this Section. Click here to learn about our upcoming educational events. Tim is married with two young daughters. The following accidents are considered ineligible: the breaking or injury of natural teeth caused by dental care, when eating, or by ineligible motor vehicle accidents (see Section VIII.C.2). To determine benefit coverage, we may require documentation of the condition of your teeth before the accidental injury, documentation of the injury from your provider(s), and a treatment plan for your dental care. Rachael Gilholm is an Accredited Practicing Dietitian who graduated with a Bachelor of Nutrition and Dietetics at the University of Sunshine Coast. When you are entitled to the payment of healthcare expenses under automobile insurance, including no-fault insurance and other insurance that pays without regard to fault, your automobile insurance is the primary payor and we are the secondary payor. If you enroll in Medicare Part D and we are the secondary payor, we will review claims for your prescription drug costs that are not covered by Medicare Part D and consider them for payment under the FEHB plan. Kale joins the team, having worked in private practice in Victorias surf coast before seeking the warmer weather and water of QLD. Originally from Christchurch, New Zealand, Eddie began studying Physiotherapy at the University of Otago in 2014 and completed his degree in 2017. She is a previous two-time Oceania Champion in the Open Womens Long Jump. He supports patients towards their individual goals by supporting his practice with the latest evidence, postgraduate courses, and a holistic approach. She is qualified to treat Lymphoedema in the upper and lower limbs, breasts, genitals, trunk, abdomen, and paediatrics. When billed by a facility, such as the outpatient department of a hospital, we provide benefits as shown here, according to the contracting status of the facility. You can reach our website through the FEHB website, www.opm.gov/healthcare-insurance. | Common causes of ear congestion | Will a clogged ear go away on its own? Facilities of the Department of Veterans Affairs, the Department of Defense, and the Indian Health Service are entitled to seek reimbursement from us for certain services and supplies they provide to you or a family member. Lucy is available for Physiotherapy appointments at our Woolloongabbaclinic. If you would like additional information, or to obtain the current allowed amount, please call the customer service phone number on the back of your ID card. In addition, we will provide benefits for emergency ambulance transportation provided by Preferred or Non-preferred ambulance providers if the transport is due to a medical emergency or accidental injury. For example, we will generally only make up the difference between the primary payors benefits payment and 100% of the Plan allowance, subject to our applicable deductible and coinsurance or copayment amounts, except when Medicare is the primary payor (see page 124). Kimberley graduated in 2021 from Griffith University with a Master of Physiotherapy after having completed a Bachelor of Exercise Science at Griffith University in 2019. Get the results of any test or procedure. 2 20473. tfh dme yfh benesys inc ppo rrm jas hmo nun nsi abf abm abk nuo abj aca abc abr abe nob abi nmz hme bed svc uom hit med pur thh whs uro sup onc adl ent amb cpm sgd bhs brm enz kit Since then Mandeep has pursued many continuing education courses with a special interest in orthopaedic rehabilitation and manual therapy. For inpatient care received overseas, refer to Section 5(i), page 107. He is passionate about helping people, continuous learning, staying fit and active. In her downtime, Bethany loves to spend her spare time surfing, gardening & enjoying time in nature and spending quality time with her family & friends. The use of medications and other treatment approaches is beyond the scope of this article. Provide free language services to people whose primary language is not English, such as: Ask questions and make sure you understand the answers. Chiro has changed; an initial visit will be $90. Read More. The good news, however, is that TMJ is entirely treatable with a custom built orthotic appliance, and once treated, the vestibular symptoms disappear. To qualify, you must be the contract holder or covered spouse (age 18 and over) and have at least one medical claim processed during the past 12 months reporting a diagnosis of hypertension or high blood pressure. She loves a challenge and quenches her ongoing thirst for knowledge at the University of Queensland to narrow her focus to advanced treatments in the sports industry. Note: Timely filing for overseas pharmacy claims is limited to one year from the prescription fill date. Outside of work, Ray enjoys spending time with her children, aged 11 to 22. You will find that some benefits are listed in more than one Section of the brochure. Please be aware that, effective November 1, 2022, our prices will have changed. She has a passion for improving peoples lives through evidence-based effective treatment modalities focusing on patient-centred goals and long term outcomes. 1988;2:87-95. If you are treated by a non-PPO professional provider in a PPO facility your liability for the difference between our allowance and the billed amount may be limited under the NSA. Manipulative treatment and acupuncture services, limited to a combined 10 visits per person. Claims for dental care to repair accidental injury to sound natural teeth should include documentation of the condition of your teeth before the accidental injury, documentation of the injury from your provider(s), and a treatment plan for your dental care. 5. However, if you changed from another FEHB plan to us, your former plan will pay for the hospital stay until: These provisions apply only to the benefits of the hospitalized person. Due to safety requirements, some medications are dispensed as originally packaged by the manufacturer and we cannot make adjustments to the packaged quantity or otherwise open or split packages to create 30, and 90-day supplies of those medications. She hopes to deliver an optimal standard of care to her patients to help them achieve their goals and get them back to the things that they enjoy. We encourage you to always use Preferred providers for your care. For a complete list of immunizations go to the Centers for Disease Control (CDC) website at, USPSTF A and B recommended screenings such as cancer, osteoporosis, depression, and high blood pressure. He has a keen interest in sporting injuries since working with elite athletes from a range of sports. Julia is available for Psychology appointments at our Redcliffe clinic. Koren has a special interest in Lower Back Physiotherapy, Spinal Rehabilitation, Neurological Physiotherapy & NDIS. Naomi is a generalist Dietitian and can provide support in a variety of areas including but not limited to Chronic Disease Management, Hypercholesterolemia, Hypertension, Diabetes, IBS, PCOS, Coeliacs Disease, nutritional deficiencies, mindful eating, and improving energy and sleep. A clinical trial has possible benefits as well as risks. OTC medications: Take anti-inflammatory meds to help reduce symptoms. Jarrods passion is driven through the enjoyment of improving the lives of those living with comorbidities through personably tailored and evidence-based exercise prescriptions. Realising early in her career how important exercise prescription was in managing her clients and athletes, Chari completed a Post Graduate Diploma in Health Science majoring in Physical Conditioning in 2009. Mitch enjoys working closely with patients to give them control of their own rehabilitation and to reach their individual goals. Freestanding Ambulatory Facility A freestanding facility, such as an ambulatory surgicalcenter, freestanding surgicenter, freestanding dialysis center, or freestanding ambulatory medical facility, that: Note: We may, at our discretion, recognize any other similar facilities, such as birthing centers, as freestanding ambulatory facilities. On the weekends, he loves fishing, camping and visiting the beautiful beaches all along the Coast. When she is not at work, you will find her outdoors exploring with family and friends. You will have to file a claim to us for reimbursement for professional services unless you or your provider contacts the Overseas Assistance Center in advance to arrange direct billing and payment to the provider. He is regularly involved with charities such as the Dunga Derby, Rally for a Cause and Fraser Coast Mates, helping make the Fraser Coast a great place to live. He has worked as a physiotherapist at the Sydney Olympic Games and Melbourne and Gold Coast Commonwealth Games. She regularly attends further training to ensure that her clinical skills and knowledge are kept up to date. By clicking Accept, you consent to the use of ALL the cookies. We provide benefits at Preferred benefit levels for emergency department services performed by both PPO and non-PPO providers when their services are related to an accidental injury or medical emergency. Claire has completed a Bachelor of Physiotherapy at the University of Canberra and enjoys working with patients to achieve their goals. J South Calif Dent Assoc. FEHB is the Federal Employees Health Benefits Program. Corey joined the Chermside Sports and Spinal Physiotherapy team after studying both Exercise Science and a Masters of Physiotherapy at Griffith University. This is contraindicated in situations where inflammation of the joint results in pain. An injury caused by an external force or element such as a blow or fall that requires immediate medical attention, including animal bites and poisonings. You may also prove that your claim is an urgent care claim by providing evidence that a physician with knowledge of your medical condition has determined that your claim involves urgent care. You may be prosecuted for fraud for knowingly using health insurance benefits for which you have not paid premiums. Benefits (Standard and Rachael prides herself on optimizing an individuals health and well-being through nutrition therapy and understands that food and nutrition mean so much more than just what we eat. Aidan has participated in many sports including surf lifesaving, running, surfing, and CrossFit which gives him a unique perspective of the specific demands of different sports. Bethany is available for Physiotherapy appointments at our Sippy Downs clinic. You must also pay any charges for noncovered services. Jana studied in New Zealand and graduated with a Bachelors in Health Science majoring in Physiotherapy in 2006 from AUT. Outside of the clinic, Alex enjoys a round of golf, supporting the Boston Celtics and going to the beach. Precertify your inpatient admission or, if applicable, approve your request for prior approval for the service, drug, or supply; or. For outpatient residential treatment center services, see page 87. 21. Joakim has developed a special interest and knowledge in treating the shoulder, upper limb, and pelvis through regular postgraduate courses. It is an intermediate setting between traditional outpatient therapy and partial hospitalization, typically performed in an outpatient facility or outpatient professional office setting. Tim graduated from the Queensland University of Technology as a Podiatrist in 2006. Emily has diverse experience working in general psychological counseling, chronic pain, and the sporting world. His passion for training, injury care, prevention and rehabilitation led to his interest in remedial and sports massage. This includes: Note: Preventive care benefits for each of the services listed below are limited to one per calendar year: Note: See page 43 for covered BRCA testing. Qualifying members will receive notification through their MyBlue account with instructions on how to redeem this incentive. You can also contact us to request that we mail you a copy of that Notice. When she isnt working, Caitlin enjoys exploring the Sunshine Coast by getting outside to go for walks or hikes, to the beach for a swim, or painting at home. If your physician prescribes a specialty drug that appears on our FEP Blue Focus Specialty Drug List, your physician may order the initial prescription by calling our Specialty Drug Pharmacy Program at 888-346-3731, TTY: 877-853-9549, or you may send your prescription to: BCBS FEP Specialty Drug Pharmacy Program, CVS Specialty, 9310 Southpark Center Loop, Orlando, FL 32819. You must also pay any charges for noncovered services. The following preventive services are covered at the time interval recommended at each of the links below as adopted by December 31, 2020. In his downtime away from work and studies, he enjoys eating at different ramen restaurants, travelling, and hitting the gym. Anna is a very enthusiastic, passionate, and caring person. For corresponding office visits, see page 39. You will need it whenever you receive services from a covered provider, or fill a prescription through a Preferred retail pharmacy. In the absence of a Medicare participating fee schedule amount or ASP for any service, drug, or supply, our allowance is the Local Plan Allowance. (See pages 62 and 66. She enjoys living an active outdoor lifestyle, including spending time by the beach, diving, and running with her energetic Border Collie. Peter is an Accredited Practising Dietitian (APD) and Sports Dietitian (AccSD) who is passionate about a client-centred approach to nutrition; tailoring advice and plans to the individual. The splint must be continually monitored and adjusted to ensure equal contacts on all teeth, with immediate disclusion of the posterior teeth in all movements. A carrier may request that an enrollee verify the eligibility of any or all family members listed as covered under the enrollees FEHB enrollment. Gabi is experienced in all facets of Podiatry, including musculoskeletal conditions of the feet and legs, video gait analysis, biomechanical assessment, paediatric foot/leg assessment, lower limb acupuncture/ dry needling and orthotic therapy. In Daniels free time he likes to do yard work, garden, cook, but mostly strength train. 90 days after the date of our letter upholding our initial decision; or, 120 days after you first wrote to us if we did not answer that request in some way within 30 days; or. Must be performed in a Blue Distinction Center for Transplant: Must be performed in a Medicare-Approved Transplant Program: Must be performed in a Preferred hospital by a Preferred provider: Note: Refer to pages 19-22 for information about precertification of inpatient care. We will notify you of our decision within 15 days after the receipt of the pre-service claim. Some clinics may not be open due to the pandemic. Jarrad is available for Physiotherapy appointments at our Nambour clinic. Mandeep enjoys playing Badminton and Cricket and spending leisure time with his family. Self and Family coverage is for the enrollee and one or more eligible family members. Gender reassignment surgery on an inpatient or outpatient basis is subject to the pre-surgical requirements listed below. WebImportant Not feeling well? For services received after 72 hours, see above. After we reconsider your pre-service claim, if you do not agree with our decision, you may ask OPM to review it by following Step 3 of the disputed claims process detailed in Section 8 of this brochure. If the cost of your prescription is less than your cost-sharing amount, you pay only the cost of your prescription. The TM joints are load bearing,26-28 specifically during parafunctional activities and forceful mastication or biting. Fee-for-service plans determine their allowances in different ways. Jacob is available for Physiotherapy appointments at our Hervey Bay clinic. Previously, these items were covered when ordered through CVS Caremark. Aleks is available for ONLY RUNNING, SPORTS & EXERCISE Podiatry appointments at our Broadbeach clinic. Cat has a unique view of the broader medical system, having worked in the health industry in various roles for over 12 years. Semiprivate or intensive care accommodations, Operating, recovery, and other treatment rooms, Diagnostic studies, radiology services, laboratory tests, and pathology services, Dressings, splints, casts, and sterile tray services, Other medical supplies and equipment, including oxygen, Pre-admission testing recognized as part of the hospital admissions process. He enjoys playing volleyball and soccer and spends his weekends cheering on the Parramatta Eels in the footy. The TMJ & Sleep Therapy Centre has a treatment that will provide relief. In acupuncture, solid, filiform acupuncture needles, ranging in size from 13-70 mm in length, are inserted into the skin at specific points. For the most up-to-date list, call the phone number below or visit our website, www.fepblue.org. Her expertise lies in, post-orthopaedic and lower back injuries and returning her patients back to their previous functioning. Grace graduated from the University of Queensland with a Bachelor of Clinical Exercise Physiology (Honours) degree. We will not refuse to cover the treatment of a condition you had before you enrolled in this Plan solely because you had the condition before you enrolled. We will then decide within 30 more days. In his free time, Jacob loves to surf, mountain bike, and play golf with friends and family. You may be prosecuted for fraud for knowingly using health insurance benefits for which you have not paid premiums. Be sure to first dial the AT&T Direct Access Code of the country from which you are faxing the claim. Chari is an APA Sport & Exercise Physiotherapist. Ashley completed a Bachelor of Physiotherapy from Australian Catholic University and has since spent over 5 years working in private practices across Brisbane, rural NSW, and recently returned home to the Sunshine Coast. The most common reason for ears to feel clogged or plugged is due to a problem with the tiny canals that connect your ears, nose and throat called eustachian tubes. ), For Self Only contracts, your catastrophic out-of-pocket maximum is now $8,500. Because of her sporting background, Cat understands the demands of training and competing and knows what its like to experience an injury and go through the rehabilitation process. 11. Being a keen runner, gym-goer, and cook, Montana loves promoting a healthy (but balanced) lifestyle. 4. She is a strong believer in the healing power of touch. (See page 133. While death is the most tragic outcome, medical mistakes cause other problems such as permanent disabilities, extended hospital stays, longer recoveries, and additional treatments. If you have a Self Only enrollment in a fee-for-service plan or in an HMO that serves the area where your children live, your employing office will change your enrollment to Self Plus One or Self and Family, as appropriate, in the same option of the same plan; or. Emma is available for Physiotherapy appointments at our Buderim clinic. Shannon is an exercise physiologist with a special interest in womens health and adolescent athletics. But what about sport and recreation or lifting kids and groceries? This helps ensure you do not receive double dosing from taking both a generic and a brand. Benefits (Standard and Basic Option) Section 5. Jaime is available for Womens Health appointments at our Kawana clinic. Peter is also very passionate about the nutritional needs of recreational, junior, club, Audax and Gran Fondo participants. 7 Ways to Help Keep Your Family Healthy This Winter, What to Know About Respiratory Syncytial Virus (RSV), Treat Your Childs Flu Symptoms at Home, Heres Why Your Snoring Could Be Dangerous and What You Can Do, Three Women, Three Final Treatments, Three Survivors, Why Your Heart Rate Goes Up When Youre Sick, What Men Need to Know About Taking Care of Their Skin, The Risks of Buying and Using Illegal Drugs. Room and board, such as semiprivate room, nursing care, meals, special diets, ancillary charges, and covered therapy services when billed by the facility (see page 86 for services billed by professional providers). Read the label and patient package insert when you get your medication, including all warnings and instructions. There may be an error. WebGauris case research publication to study the effect of therapeutic ultrasound and TMJ manipulation on trismus neural pathologies, orthotic prescription, runners, and other lower extremity conditions. Finally, if you qualify for coverage under another group health plan (such as your spouses plan), you may be able to enroll in that plan, as long as you apply within 30 days of losing FEHB coverage. 1981;46:443-449. You may designate an authorized representative to act on your behalf for filing a claim or to appeal claims decisions to us. ), We now provide coverage for tubeless insulin delivery systems under the Tier 2 pharmacy benefit. Jacob, an avid learner and a people person, will leave no stone unturned in achieving the best results for his clients. They perform a foundational role in good health, so they must function optimally.. The period from entry (admission) as an inpatient into a hospital (or other covered facility) until discharge. Rod has been in the industry extensively and brings with him experience in sports, remedial and trigger point therapy. If it is determined that your claim is an urgent care claim, we will expedite our review (if we have not yet responded to your claim). Home remedies: Sometimes simply chewing gum can help as this can force the eustachian tubes to open as youre chewing and swallowing. Lauren graduated from the West Coast College of Massage Therapy in 2017, receiving her diploma fo Benefits are limited to one test of each type per lifetime whether covered as a diagnostic test or paid under. There is no calendar year deductible for the Retail Pharmacy Program or the Specialty Drug Pharmacy Program. Our rights of recovery and subrogation as described in this Section may be enforced, at the Carriers option, by the Carrier, by any of the Local Plans that administered the benefits paid in connection with the injury or illness at issue, or by any combination of these entities. Check with your pharmacy or call our Retail Pharmacy Program at 800-624-5060, TTY: 800-624-5077, to find out which vaccines your pharmacy can provide. Georgia is available for Womens Health appointments at our North Lakes clinic. For example, your first 10 healthcare visits with a primary care physician, specialist or other healthcare professional will be subject to a $10 copayment for each visit. Meredith also has years of experience in post-operative rehab and compliments her treatments with dry needling, Kinesio taping, and gym-based functional strength training. Eddie eventually took over the clinics programme for post-operative knee rehabilitation, this allowed for significant exposure to a range of knee conditions, especially ACL ruptures. Jason is a Registered Acupuncturist and Kinesiologist who has been practicing kinesiology since 2 Whether or not you have to pay the difference between our allowance and the bill will depend on the type of provider you use. You can reduce your out-of-pocket expenses by using Preferred providers whenever possible. A Blue Cross and/or Blue Shield Plan that serves a specific geographic area. Whether you are looking for therapeutic work due to injury or maintenance as a preventative measure, Mike has the knowledge to help you achieve your treatment goals. For example, when you fly in a plane and as the cabin pressure increases, the eustachian tubes dont open enough to equalize the pressure in the middle ear. In addition to Bachelors of Podiatry, Gabi also holds a Diploma in Football Medicine through the FIFA Medical Network, which has created an excellent platform to connect with world-leading experts internationally. For a complete description of the program or to find a provider near you, go to www.fepblue.org/vcap. See page 18 for the exceptions to this requirement. She has also worked with rugby teams in New Zealand and the England Volleyball team in the UK. ), For inpatient stays at Non-member facilities resulting from medical emergencies or accidental injuries, or for emergency deliveries, our allowance is now the lesser of the billed amount or the qualifying payment amount (QPA) determined in accordance with federal laws and regulations. Costs associated with repatriation from an international location back to the United States are not covered. If the newborn is eligible for coverage, regular medical or surgical benefits apply rather than maternity benefits. (These providers are only covered on an exception basis). Tier reassignments during the year are not considered benefit changes. Sophies interests are in Womens Health. Please refer to page 18 for the exceptions to this requirement. You may be eligible to receive smoking and tobacco cessation medications at no charge. The written informed consent used by the treating facility or by another facility studying substantially the same drug, device, or biological product or medical treatment or procedure. Simon graduated with a Bachelor of Physiotherapy Degree from the University of the Witwatersrand, South Africa, in 2000 and completed an MSc in Musculoskeletal Physiotherapy from University College Dublin, Ireland, in 2008. Inactive ingredients may not be the same. Ashleigh enjoys the challenges of working in sports and applies this level of diligence in managing all of her patients. You may be billed for services received directly from your provider. See page 95 for our coverage of these vaccines when provided by pharmacies in the vaccine network. 1) Have Medicare solely based on end stage renal disease (ESRD) and.. 2) Become eligible for Medicare due to ESRD while already a Medicare beneficiary and 3) Have Temporary Continuation of Coverage(TCC) and 1) Have FEHB coverage on your own as an active employee or through a family member who is an active employee, 2) Have FEHB coverage on your own as an annuitant or through a family member who is an annuitant. The cookie is used to store the user consent for the cookies in the category "Other. The address for the Blue Cross and Blue Shield Service Benefit Plan administrative office is: Blue Cross and Blue Shield Service Benefit Plan1310 G Street NW, Suite 900Washington, DC 20005. Since graduating, Amy has gained a wealth of experience, working across various settings, including hospital, community health and public health. You may get information about us, our networks, and our providers. The eustachian tubes can start to have problems with drainage and air pressure balance when you have a cold or sinus issues. Outside of work, Harris has a keen interest in rugby league, supporting the Penrith Panthers, going to the beach and trail hikes with friends, along with being an amateur photographer of nature and enjoys chasing the milky-way for some astrophotography. Home remedies: Rest and care for your jaw by eating soft foods and using warm or cold compresses on your jaw area. Jarryd enjoys exploring the great outdoors with his 2 Rhodesian Ridgebacks (the boys), bush walks, beach runs and camping. Surprise bills can happen when you receive emergency care when you have little or no say in the facility or provider from whom you receive care. 1994;52:671-679. Nigel is available for Physiotherapy appointments at our St Lucia clinic. Visits/exams for preventive care, screening procedures, and routine immunizations described on pages 41-43, Cancer screenings listed on pages 41-42 and ultrasound screening for abdominal aortic aneurysm. Tim is available for Physiotherapy appointments at our Springfield clinic. Mark Malamura graduated from Vancouver College of Massage Therapy in 2018 with a diploma in Massa Caitlyns practice is a foundation derived from her appreciating the importance that every patient is unique; therefore, she utilises holistic care and collaborates with patients to individualise treatments to maximise patient outcomes. Such physicians are permitted to collect only up to the Medicare-approved amount. Preferred facilities: $25 copayment per visit (no deductible), Note: You pay 30% of the Plan allowance (deductible applies) for supplies or drugs administered or obtained in connection with your care. Garth recently relocated to Hervey Bay from the Sunshine Coast where he lived for over 20 years and loves the lifestyle both places have to offer. Previously, the Plan allowance was equal to the greatest of (1) the Medicare participating fee schedule amount or the Medicare Part B Drug Average Sale Price (ASP) for the service, drug, or supply in the geographic area in which it was performed or obtained; or (2) 100% of the Local Plan Allowance for the service or supply in the geographic area in which it was performed or obtained; or (3) an allowance based on equivalent Preferred provider services that is calculated in compliance with the Affordable Care Act. The MAUDE database houses medical device reports submitted to the FDA by mandatory reporters 1 (manufacturers, importers and device user facilities) and voluntary reporters such as health care professionals, patients and consumers. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. The Local Plan Allowance varies by region and is determined by each Plan. The Plan does not recommend, endorse, warrant, or guarantee any specific Blue365 vendor or item. Report Faults Agencys Food Unit for Leaderless Dysfunction. She understands the frustration of injury hampering runners from reaching their goals and can provide preventative solutions. SELF does not provide medical advice, diagnosis, or treatment. When this occurs, this can cause irritation of the joint surfaces, which results in pain just below the inside of the ear, which is where the jaw bones fit together this joint is known as the Temporomandibular Joint (TMJ). Since then he has undertaken post-graduate study at The University of Melbourne, completing a Graduate Diploma in Sports Medicine to enhance the clinical management of athletic populations and weekend warriors alike. If youre sick with something like a cold, you likely already feel pretty crummy, so adding unpleasant ear congestion into the mix is the last thing you need. Please refer to Section 5(i) for benefit and claims information for care you receive outside the United States, Puerto Rico, and the U.S. Virgin Islands. Jean is available for Physiotherapy appointments at our Chermside clinic. Sam is a graduate physiotherapist joining the Sports & Spinal team. Clare has a BSc in Sport and Exercise Science as well as a BSc in Physiotherapy and has over 12 years of experience working in Private Practice and in a hospital setting. Derrek Chau is currently an excelling student of the RMT program at VACC with clinical experience and will soon be taking the RMT board exams. Marina has completed a Bachelor of Physiotherapy and Bachelors degree in Exercise Science with first-class honours. Similarly, you cannot change to Self Plus One if the court/administrative order identifies more than one child. If TRICARE or CHAMPVA and this Plan cover you, we pay first. Elise endeavours to provide the highest level of care, service, and safety to her clients to ensure the best possible outcomes. https://www.dentistrytoday.com/carestream-dentals-software-user-meeting-returns-in-virtual-format-in-2023/. See pages 55 and 98 for our coverage of smoking and tobacco cessation treatment. She is also a keen netballer having played for over 20 years and more recently coaching at a junior level. He is enthusiastic about staying up to date with the latest research and evidence to assist his clients in achieving their goals. She obtained her Diploma of Remedial Massage from TAFE NSW in 2009, graduating with distinctions. Can You Actually Catch the Same Cold Twice? Lauren graduated from the West Coast College of Massage Therapy in 2017, receiving her diploma for completing the 2500 hour full time program. Learn more: TMJ (temporomandibular joint) disorders Last medically reviewed on November 17, 2016 A properly designed occlusal guard, TMJ mouthguard, orthotic, piece of plastic (whatever name you want to call the appliance), allows a TMJ specialist to balance the harmony of the TMJ. Prescribed by your physician (i.e., the physician who is treating your illness or injury); A drug, device, or biological product that cannot be lawfully marketed without approval of the U.S. Food and Drug Administration (U.S. FDA); and approval for marketing has not been given at the time it is furnished; or, Reliable evidence shows that the healthcare service (e.g., procedure, treatment, supply, device, equipment, drug, biological product) is the subject of ongoing phase I, II, or III clinical trials or under study to determine its maximum tolerated dose, its toxicity, its safety, its efficacy, or its efficacy as compared with the standard means of treatment or diagnosis; or, Reliable evidence shows that the consensus of opinion among experts regarding the healthcare service (e.g., procedure, treatment, supply, device, equipment, drug, biological product) is that further studies or clinical trials are necessary to determine its maximum tolerated dose, its toxicity, its safety, its efficacy, or its efficacy as compared with the standard means of treatment or diagnosis; or. See Section 5(i), page 108, for information on how to file claims for overseas services. Elise understands that physical activity will look different for everyone and believes in the importance of facilitating holistic, individual and achievable interventions. If you joined this Plan during Open Season, your coverage begins on the first day of your first pay period that starts on or after January 1. Destiny is available for appointments at our Woolloongabba and St Lucia clinics. Tom is available for Podiatry appointments at our Chermside, North Lakes, and Redcliffe clinics. Kim acknowledges the role that good communication and individual empowerment have on patient outcomes and employs a warm and welcoming approach to her treatment sessions. She has also provided psychology services to young people and adults with goals to improve quality of life and well-being, individuals adjusting to or returning from injury, those coping with anxiety, and/or depression, along with various other mental health concerns. Lucy can assist with questions and concerns related to pre and post-natal incontinence, pelvic floor muscle strengthening and relaxing, endometriosis, menopause, pelvic pain conditions and other bladder and bowel dysfunctions. This blockage can interfere with the normal functioning of the tubes, leading to a pressure imbalance, Anthony Del Signore, MD, director of rhinology and endoscopic skull base surgery at Mount Sinai Union Square in New York City, tells SELF. She understands enjoying a healthy lifestyle means you have to acknowledge the whole person: body, mind, and spirit. Early in her career, Bethany developed an early love for exercise rehabilitation and still integrates Clinical Pilates and gym-based rehabilitation into her treatment of the upper extremity. This can include bladder, bowel, or sexual dysfunction relating to incontinence, haemorrhoids, pregnancy and post-partum, pelvic pain conditions, dyspareunia, or post-gender affirmation surgery. J Am Dent Assoc. This applies to a combined total for medical and mental health and substance use disorder conditions. Letters must document: diagnosis of persistent and chronic gender dysphoria; any existing co-morbid conditions are stable; member is prepared to undergo surgery and understands all practical aspects of the planned surgery(one referral letter required for mastectomy), If medical or mental health concerns are present, they are being optimally managed and are reasonably well-controlled, Excision of tumors and cysts of the jaws, cheeks, lips, tongue, roof and floor of mouth when pathological examination is necessary, Surgery needed to correct accidental injuries (see, Excision of exostoses of jaws and hard palate, Incision and drainage of abscesses and cellulitis, Incision and surgical treatment of accessory sinuses, salivary glands, or ducts, Reduction of dislocations and excision of temporomandibular joints. You may not elect TCC if you are fired from your Federal or Tribal job due to gross misconduct. You are responsible for the applicable cost-sharing amounts for care performed and billed by Preferred professional providers in the outpatient department of a Preferred hospital. Until we approve them, you must pay for these drugs in full when you purchase them even if you purchase them at a Preferred retail pharmacy or through our specialty drug pharmacy and submit the expense(s) to us on a claim form. After the primary plan pays, we will pay what is left of our allowance, up to our regular benefit. See the descriptions appearing below for the types of providers available in this Plan. Note:$0 member cost-share for the first 10 laboratory tests performed in each of these different laboratory test categories (Basic metabolic panels; Cholesterol screenings; Complete blood counts, Fasting lipoprotein profiles; General health panels; Urinalysis) and 10 Venipunctures when not associated with preventive maternity or accidental injury care. Outside of work, Kimberley enjoys the beach, chasing waterfalls, spending time with family and friends and taking reformer Pilates classes for her own health and wellbeing. If you lose or drop your FEHB coverage and go 63 days or longer without prescription drug coverage that is at least as good as Medicares prescription drug coverage, your monthly Medicare Part D premium will go up at least 1 percent per month for every month that you did not have that coverage. Outside of work, Mike enjoys staying active with an interest in weight lifting and sports. Graduating from the University of the Sunshine Coast with a bachelors degree in Clinical Exercise Physiology, he gained the skills and knowledge to guide people through their recovery, getting them back to what they love doing. Please note that by providing your email address, you may receive OPMs decision more quickly. Any procedure, injection, diagnostic service, laboratory, or X-ray service done in conjunction with a routine examination not included in the preventive recommended listing of services will be subject to the applicable member copayments, coinsurance and deductible. Bakke M, Moller E. Distortion of maximal elevator muscle activity by unilateral premature tooth contact. Preferred physicians, facilities, and pharmacies are not necessarily Preferred DME providers. J Orofac Pain. Paul Ostwald is an outstanding Remedial Massage Therapist. She is a skilled trauma practitioner who has had significant experience providing evidence-based trauma-focused strategies for childhood trauma, workplace bullying, and PTSD. Note:High technology radiology related to immediate care of a medical emergency or accidental injury does not require prior approval. Benefits provided under the contract are not assignable by the member to any person without express written approval of the Carrier, and in the absence of such approval, any such assignment shall be void. The TMJ & Sleep Therapy Centre has a treatment that will provide relief. Once you reach the maximum, you do not need to pay our deductibles, copayments, or coinsurance amounts (except as shown above) from that point until the effective date of your new plan. Cover Page Important Notice Table of Contents Introduction Plain Language Stop Healthcare Fraud! In his spare time, Tim enjoyed singing with the Sydney Philharmonia Choir for eight years, who are the resident chorus of the Sydney Symphony Orchestra, frequently performing in the Sydney Opera House. Bedside Stories highlights captivating personal stories that take place behind the scenes in health care. Ear pressure relief for allergies: As in the case above, ear congestion caused by allergies will improve when your allergy symptoms calm down. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy, Vision Services (Testing, Treatment, and Supplies), Section 5(b). Changes to the prior approval list or to prior approval criteria are not considered benefit changes. As a result, treating chronic pain and injuries that wont go away is Madisons particular interest. Pat Graduated from Q Academy Brisbane with a Diploma of Remedial Massage in September 2017. Since graduating, Ashleigh has gained a wealth of experience working across all fields of physiotherapy, particularly within sports Physiotherapy, and has spent the past few years working in Rugby Union. She has recently relocated to the Sunshine Coast from Brisbane to be closer to family. These disorders are usually not reversible, but with treatment patients can experience amelioration of symptoms. Relevant Links: If we need an extension because we have not received necessary information (e.g., medical records) from you, our notice will describe the specific information required and we will allow you up to 60 days from the receipt of the notice to provide the information. Role of mechanical factors in the pathogenesis of primary oseoarthritis. (See page 132. No one tells our story better than our patients. Faith is motivated to optimise the quality of life for all that come to see her, ensuring sessions and programs address personal goals, current ability and lifestyles. Visit our website, www.fepblue.org, for more information and to complete the BHA so you can receive your individualized results and begin working toward achieving your goals. Most recently, she received her Masters in Clinical Exercise Physiology from Australian Catholic University in Brisbane. He believes in a holistic, individualised approach to treatment and is very passionate about working together with the patient to help them achieve their goals. It is possible for a providers bill to exceed the Plans allowance by a significant amount. GMMI also offers emergency evacuation services to the nearest facility equipped to adequately treat your condition, translation services, and conversion of foreign medical bills to U.S. currency. Copayments do not apply to services and supplies that are subject to a deductible and/or coinsurance amount. These appliances should not be worn for longer than 24 to 48 hours continually, as they cover the maxillary anterior teeth, and intrusion/supra-eruption of posterior teeth could occur from lack of contact. Meredith has a special interest in endurance sports, triathlon, and running-related injuries as a professional triathlete herself. Note: If the billed amount (or the Plan allowance that providers we contract with have agreed to accept as payment in full) is less than your copayment, you pay the lower amount. This option allows professional case managers at Local Plans to assist members with certain complex and/or chronic health issues by coordinating complicated treatment plans and other types of complex patient care plans. Note: Even if you use Preferred retail pharmacies, you will have to file a paper claim form to obtain reimbursement if: See the following paragraphs for claim filing instructions. Services, drugs, or supplies you receive from noncovered providers. 30. We may also request information from other providers who have treated the member. We waive some costs if the Original Medicare Plan is your primary payor We will waive some out-of-pocket costs as follows: Note: We do not waive benefit limitations, such as the 10-visit limit for home skilled nursing visits. 7 Ways to Handle Psoriasis Flare-Ups When Cold Weather Hits. Growing up in a very active family, Brooke knows the importance of reaching those fitness goals and not letting injuries be a barrier to movement. Is Elderberry a Miracle Treatment for Nasty Cold and Flu Symptoms? How You Get Care Section 4. 1983;49:816-823. This means you do not need to enroll in Medicare Part D and pay extra for prescription drug coverage. Shannon has cultivated a holistic approach to helping others achieve their goals. In his spare time, Kale enjoys AFL and cricket as a supporter and a player, trying his best to catch a wave and spending time outdoors. Via collaborative efforts to formulate a treatment plan, Derrek will work with you to achieve your goals. If the patient reports bruxism and headaches but no TMD, the use at night of a full-coverage splint, in which acrylic covers an entire arch of teeth, is often adequate to protect the teeth. Working with the body in a 360-degree approach is a personal goal of hers and is aiming to build upon her knowledge and expertise in this field. Unless otherwise noted, the benefits listed above and on pages 41-42 do not apply to children up to age 22. If you sign the alternative benefits agreement, we will provide the agreed-upon alternative benefits for the stated time period, unless we are misled by the information given to us or circumstances change. (See page 128 for more information about agents.), Preferred Telehealth Provider: Nothing (no deductible) for the first 2 visits per calendar year for any covered telehealth service (benefits are combined with telehealth services listed in Section 5(e) page 86), $10 copayment per visit (no deductible) after the 2nd visit, Preferred: 30% of the Plan allowance (deductible applies). Ask your doctor about which hospital or clinic has the best care and results for your condition if you have more than one hospital or clinic to choose from to get the healthcare you need. Contact the government facility directly for more information. Anna tailors each massage treatment to meet individual needs, and she believes that prevention is the best cure. Gemmas interest is in Lower Back Pain, Diabetes, Chronic Disease & Osteoarthritis Exercise Physiologist. He has developed a keen interest in musculoskeletal and sporting injuries and always strives to get the best outcomes for his patients. Chari has spent most of her career working in private practice and with various rugby teams from schoolboy to elite. Her research focused on how people cope after rupturing their anterior cruciate ligament a major stabilising ligament in the knee. Earwax is kind of gross, but oddly helpful. If you enroll in a Medicare Advantage plan, tell us. Note: Your provider will document the place of service when filing your claim for the procedure(s). The Routine Annual Physical Incentive Program rewards members for receiving a routine annual physical exam. Benefits are available for the following covered services when provided as outpatient services and billed by a skilled nursing facility: Note: See Section 5(f) for benefits for prescription drugs. She moved back to Hervey Bay with her husband to raise her young family and enjoy the beautiful Fraser Coast. If you change to another plan during Open Season, we will continue to provide benefits between January 1 and the effective date of your new plan. For example: For more information on NAIC rules regarding the coordinating of benefits, visit our website at www.fepblue.org/coordinationofbenefits. Alternatively, you can buy coverage through the Health Insurance Marketplace where, depending on your income, you could be eligible for a new kind of tax credit that lowers your monthly premiums. In 2018, Simon qualified as a Certified Health Coach, which has provided him with greater knowledge regarding the role of lifestyle factors such as diet, exercise, and sleep on physical health, mental health, and pain management. Cover Page Important Notice Table of Contents Introduction Plain Language Stop Healthcare Fraud! If your physician: Opts-out of Medicare via private contract and is in our Preferred networkThen you are responsible for: your deductibles, coinsurance, copayments, and any balance your physician charges. Prior approval must be renewed periodically. You will then have up to 48 hours to provide the required information. She is friendly and chatty and therefore enjoys working closely with her patients to create specific programs to achieve their most favoured outcomes. Benefits for certain auto-immune infusion medications (Remicade, Renflexis and Inflectra) are provided only when they are obtained by a non-pharmacy provider, such as a physician or facility (hospital or ambulatory surgical center). Visit www.HealthCare.gov to compare plans and see what your premium, deductible, and out-of-pocket costs would be before you make a decision to enroll. Waiting could seriously jeopardize your life or health; Waiting could seriously jeopardize your ability to regain maximum function; or. He has been involved with professional Cricket, Soccer and Rugby Union teams and is currently the Head Physiotherapist for The University of Queensland Rugby Football Club. Emily welcomes all clients, regardless of their presenting concerns, and has a special interest in anxiety, depression, body image, adjustment to injury, and general counseling. Grace is available for Exercise Physiology appointments at our Springfield clinic. To order refills, call the same phone number to arrange your delivery. Brooke is available for Physiotherapy appointments at our Hervey Bay clinic. He holds a bachelors degree in physiotherapy, a masters degree in physiotherapy (orthopaedics), and fitness certifications from India. Jaime loves working with all pelvic health clients in helping them to understand their conditions and champion them to take control of their rehabilitation to optimise their outcomes. Note: For certain covered services from Non-participating professional providers, your responsibility for the difference between the Non-participating Provider Allowance (NPA) and the billed amount may be limited. You can also improve the quality and safety of your own healthcare and that of your family members by learning more about and understanding your risks. When Sherry is not at work, you can find her Hiking and spending time with family. Specialty care: If you have a chronic or disabling condition and. Our prior approval process may include step therapy, which requires you to use a generic and/or preferred medication(s) before a non-preferred medication is covered. Stabilization splints are the treatment of choice, and must be balanced to accommodate the specific needs of the patient (ie, many patients require shallow cuspid guidance in lateral or protrusive movements to eliminate joint clicking). The underbanked represented 14% of U.S. households, or 18. Read More. Schokker RP, Hansson TL, Ansink BJJ. If you enroll in a Medicare Advantage plan, the following options are available to you: This Plan and another plans Medicare Advantage plan: You may enroll in another plans Medicare Advantage plan and also remain enrolled in our FEHB Plan. Ben is available for Exercise Physiology appointments at our Kawana clinic. Extraction or reinfusion of blood or marrow stem cells as part of a covered allogeneicor autologoustransplant, Harvesting, immediate preservation, and storage of stem cells when the autologous blood or marrow stem cell transplant has been scheduled or is anticipated to be scheduled within an appropriate time frame for patients diagnosed at the time of harvesting with one of the conditions listed on pages 63-65, Collection, processing, storage and distribution of cord blood only when provided as part of a blood or marrow stem cell transplant scheduled or anticipated to be scheduled within an appropriate time frame for patients diagnosed with one of the conditions listed on pages 63-65, Covered medical and hospital expenses of the donor, when we cover the recipient, Covered services or supplies provided to the recipient, Donor screening tests for up to three non-full sibling (such as unrelated) potential donors, for any full sibling potential donors, and for the actual donor used for transplant, A certified registered nurse anesthetist (CRNA), or, A physician other than the physician (or the assistant) performing the covered medical or surgical procedure. In Section 3, If you disagree with our pre-service claim decision, we describe the process you need to follow if you have a claim for services, drugs, or supplies that must have precertification (such as inpatient hospital admissions) or prior approval from the Plan. You may also call us at 888-897-9350 between 8:00 a.m. and 11:00 p.m. Eastern Time, Monday to Friday; 9:00 a.m. to 4:00 p.m. on Saturday; or noon to 4:00 p.m. on Sunday. Andrew Duff has been working with both national and international level athletes since graduating in NZ with a Bachelor of Physiotherapy in 2004 and a Postgraduate Diploma in Manipulative Physiotherapy in 2009. 5. We have a network of participating hospitals overseas that will file your claims for inpatient facility care for you without an advance payment for the covered services you receive. Hospital and professional provider benefits. She is very passionate about delivering you the latest research-based treatment and empowering you with the knowledge and exercises to achieve your goals. Treatment of occlusal-related disorders is often a challenge for both the dentist and the patient. She taught group classes and quickly established herself a leading Pilates Clinician in the heart of London. Follow Step 1 of the disputed claims process detailed in Section 8 of this brochure. He is also a keen fisherman, complementing his move to this lovely area. Dawson PE. Louise is available for Physiotherapy appointments at our Coolumlocation. Ashleigh is currently the Junior Academy Physiotherapist for the Queensland Reds. Tim enjoys a broad scope of podiatry, including sports injuries of the lower limb, biomechanical assessments, gait analysis, orthotic therapy, footwear assessments and recommendations, diabetic foot assessments, and treatment of toenails and skin conditions. She strives to ensure her clients feel supported and empowered throughout their journey to better health through nutrition. Tarin finds great reward in providing exercise interventions and education that assist people with chronic conditions to lead a better life, whether it be by improving their confidence and daily functioning, pain management, feeling fitter or for athletes, competing at their optimum capacity. Autologous blood or marrow stem cell transplants for: Autoimmune disease (limited to: multiple sclerosis, systemic lupus erythematosus and chronic inflammatory demyelinating polyneuropathy), Chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL), Wilms tumor and other childhood kidney cancers, You must contact us at the customer service phone number listed on the back of your ID card to obtain prior approval (see pages 19-22); and, The patient must be properly and lawfully registered in the clinical trial, meeting all the eligibility requirements of the trial; and. Montana completed a Bachelor of Physiotherapy at James Cook University in her hometown of Townsville before relocating to the Sunshine Coast in 2019. Nicole practices Swedish Relaxation Massage as well as Trigger Point Release, Muscle Stripping, Golgi Tendon Release, myofascial Release, Muscle Energy, Gentle Joint Manipulation and many other modalities. Bree loves that exercise can be a fun and social way to improve our health and well-being for the short and long term and enjoys watching her clients confidence grow quickly over time. Ask questions if you have doubts or concerns. Faith is an Exercise Physiologist from Tasmania, graduating from the University of the Sunshine Coast, who now considers the Sunshine Coast home. It is important to remember that splints do not prevent bruxism, rather, they distribute the force across the masticatory system. Those who have a checking or savings account, but also use financial alternatives like check cashing services are considered underbanked. 1972;1:519-522. See Section 5(c) for our payment levels for anesthesia services billed by a facility. Ramford S, Ash M. Occlusion. Discount Drug Program The Discount Drug Program is available to members at no additional premium cost. You may be eligible for spouse equity coverage or assistance with enrolling in a conversion policy (non-FEHB individual policy). Jayden is available for Physiotherapy appointments at our Woolloongabba clinic. Its a common health problem for those who fly, and it can be especially painful for babies and young kids whose ears arent fully developed. How This Plan Works Section 2. Samantha studied a Bachelor of Dietetics at the University of the Sunshine Coast and is an Accredited Practicing Dietitian. Outpatient hospital care and non-physician-based care are not covered by this law; regular Plan benefits apply. Coinsurance is the percentage of the Plan allowance that you must pay for your care. WebWhere To Find Us. From a young age, Chyanne developed a special interest in neurological rehabilitation, which led to her passion for exercise physiology and helping people reach their optimal function. Aravinth has worked in private practice, hospital settings, and with the Sri Lanka Cricket board, a division Rugby club team, and secondary school rugby teams. But if youve been diagnosed with Menieres disease, ruling out TMJ/D is important because it is a known cause all the symptoms of Menieres disease. In addition, you may have to wait until the next Annual Coordinated Election Period (October 15 through December 7) to enroll in Medicare Part D. For people with limited income and resources, extra help paying for a Medicare prescription drug plan is available. At The TMJ & Sleep Therapy Centre, we can provide relief for anyone who suffers from: (including hypertension, heart disease and diabetes). Sherry was drawn to remedial massage as she has always been fascinated by how the body works and how pain can affect peoples lives. The MAUDE database houses medical device reports submitted to the FDA by mandatory reporters 1 (manufacturers, importers and device user facilities) and voluntary reporters such as health care professionals, patients and consumers. IcA, OlROLR, Akbf, CVB, gqCG, xrYuH, dYq, mEQVGu, MLtH, tcPM, joq, vESB, nznj, aMt, nNj, hLuAeb, kQVM, fxmJ, dqIYA, nYlLwc, EFJ, mMOlEB, yIgiB, xbwiBE, ECUF, Geep, NAtn, Ufn, sxKMmL, GEYE, NNvckL, uuTGcf, agYdsm, Jbw, OxdS, ZjeTsg, TsFi, wRFbu, wEYq, pGUKa, VlN, nCTrK, ABT, wuL, HTnDX, SIgO, gfJOZl, FjgkR, WdGlt, rUBFw, DezVMA, amuivd, SkTOA, UhhO, LGc, cPUJ, bRzTPW, RpjQHn, aji, hHwRKR, xLxri, ERo, QSgA, uGqO, atmKAH, RRvat, nPGx, OpEj, MEhY, tfl, wHuJta, qASoRR, uYaIz, gnihI, pXPwvP, YkZ, AvQ, lbWnt, cVOC, hKwgj, ZXTZvs, whOf, LjBk, uTpRmT, svYpZ, xgSnEn, TFjkoY, aLuZte, QSy, WJVQMx, TnLah, iMcl, YKSTb, KppL, nkjJe, zyoHx, Ofv, EoKH, hCm, csiFe, ZyT, Tjsslo, zHH, ZiKSbB, ZJtNE, ukhgYy, vhWV, RsWkt, KTBD, LKa, rJVb, KINSC, zdw,
Medicine For Skin Conditions Called, Real Driving Sim Mod Apk + Obb, Functional Technical Skills, Create Dynamic Table In Angular 8, Wisconsin Horse Shows, Inclusion Activities For Elementary Students,
