Coverage for the RSA Alabama PEEHIP Insurance Program in 2025 is tailored to meet the evolving needs of Alabama state employees, retirees, and their dependents. The program’s comprehensive package of benefits includes essential healthcare services, such as preventive care, chronic condition management, and specialized treatments. In addition to providing ample coverage for hospitalization and surgeries, the program also encompasses prescription drug coverage, mental health services, and vision and dental care.
To ensure affordability and accessibility, the PEEHIP program offers a range of coverage options, allowing individuals to customize their plans based on their specific needs and budget constraints. Participants have the flexibility to choose from various deductibles, copayments, and coinsurance options, enabling them to tailor their coverage to their financial situation. Furthermore, the program incorporates cost-saving measures, such as preventive care incentives and generic drug coverage, to help employees manage their healthcare expenses while maintaining comprehensive coverage.
The RSA Alabama PEEHIP Insurance Program is committed to providing high-quality healthcare coverage to its members. Through a network of carefully selected providers, the program ensures access to a wide range of medical professionals and healthcare facilities. Participants can rely on prompt and efficient service from dedicated customer support representatives who are available to assist them with any questions or concerns they may encounter. With a focus on member satisfaction and well-being, the PEEHIP program strives to empower employees and retirees with the resources they need to make informed decisions about their healthcare and achieve optimal health outcomes.
Comprehensive Medical Coverage
Comprehensive medical coverage is the cornerstone of the RSA Alabama PEEHIP insurance program for 2025. It provides a wide range of essential medical services and treatments to enrolled members, ensuring their health and well-being.
Inpatient Hospital Care
Comprehensive medical coverage includes inpatient hospital care for any medically necessary condition. This includes room and board, nursing care, doctor’s visits, diagnostic tests, and treatment procedures. Hospitalization is covered under both the PPO and the HMO plan options.
Outpatient Services
Outpatient services are also covered under comprehensive medical coverage. This includes doctor’s office visits, urgent care center visits, and specialist consultations. Routine preventive care, such as annual physicals and screenings, is also included.
Emergency Services
Comprehensive medical coverage provides coverage for emergency services, including ambulance transportation, emergency room visits, and hospital stays. Emergency services are covered at any hospital, regardless of whether it is in-network or out-of-network.
Prescription Drugs
Prescription drugs are an essential component of comprehensive medical coverage. The RSA Alabama PEEHIP insurance program for 2025 includes coverage for both brand-name and generic prescription drugs. Members have the option to fill their prescriptions at any participating pharmacy.
Mental Health Services
Mental health services are an important part of comprehensive medical coverage. The RSA Alabama PEEHIP insurance program for 2025 includes coverage for mental health services, such as therapy, counseling, and medication management. Mental health services are covered under both the PPO and the HMO plan options.
Rehabilitation Services
Rehabilitation services are also covered under comprehensive medical coverage. This includes physical therapy, occupational therapy, and speech therapy. Rehabilitation services are covered after a member has been injured or undergone a medical procedure.
Diagnostic Services
Diagnostic services are essential for timely and accurate medical care. The RSA Alabama PEEHIP insurance program for 2025 includes coverage for a wide range of diagnostic services, such as X-rays, CT scans, and MRIs. Diagnostic services are covered under both the PPO and the HMO plan options.
Preventive Services
Preventive services are essential for maintaining good health and reducing the risk of disease. The RSA Alabama PEEHIP insurance program for 2025 includes coverage for a wide range of preventive services, such as annual physicals, screenings, and immunizations. Preventive services are covered under both the PPO and the HMO plan options.
Additional Coverage
In addition to the essential health services described above, comprehensive medical coverage may also include additional benefits, such as coverage for dental care, vision care, and chiropractic services. These additional benefits may vary depending on the plan option selected.
| Covered Services | Eligible Providers | Coverage Details |
|---|---|---|
| Inpatient Hospital Care | Hospitals | Room and board, nursing care, doctor’s visits, diagnostic tests, and treatment procedures |
| Outpatient Services | Doctor’s offices, urgent care centers, specialist clinics | Doctor’s office visits, urgent care visits, specialist consultations, and routine preventive care |
| Emergency Services | Hospitals | Ambulance transportation, emergency room visits, and hospital stays |
| Prescription Drugs | Participating pharmacies | Coverage for both brand-name and generic prescription drugs |
| Mental Health Services | Mental health professionals | Therapy, counseling, and medication management |
| Rehabilitation Services | Physical therapists, occupational therapists, speech therapists | Physical therapy, occupational therapy, and speech therapy |
| Diagnostic Services | Diagnostic imaging centers, laboratories | X-rays, CT scans, MRIs, and other diagnostic tests |
| Preventive Services | Doctor’s offices, clinics | Annual physicals, screenings, and immunizations |
| Benefit | Coverage |
|---|---|
| Skilled nursing services | Covered for up to 21 days per year. |
| Physical therapy | Covered for up to 60 days per year. |
| Occupational therapy | Covered for up to 60 days per year. |
| Speech therapy | Covered for up to 60 days per year. |
| Home health aide services | Covered for up to 28 hours per week. |
| Medical social services | Covered for up to 30 days per year. |
| Nutritional counseling | Covered for up to 30 days per year. |
| Durable medical equipment | Covered when medically necessary. |
| Supplies | Covered when medically necessary. |
Home Health Care Coverage
The RSA Alabama PEEHIP insurance program for 2025 provides comprehensive coverage for home health care services. These services are designed to help you recover from an illness or injury in the comfort of your own home.
Skilled Nursing Services
Skilled nursing services are provided by registered nurses (RNs) or licensed practical nurses (LPNs) and include:
– Wound care
– Medication management
– IV therapy
– Catheter care
– Tracheostomy care
Physical Therapy
Physical therapy helps you improve your mobility and range of motion after an injury or illness. Physical therapists can also help you manage pain and prevent further injury.
Occupational Therapy
Occupational therapy helps you regain skills that you need for everyday activities, such as bathing, dressing, and eating. Occupational therapists can also help you adapt your home and workplace to make it more accessible.
Speech Therapy
Speech therapy helps you improve your speech, language, and swallowing abilities. Speech therapists can also help you manage communication problems caused by Parkinson’s disease, stroke, or other neurological conditions.
Home Health Aide Services
Home health aide services provide assistance with activities of daily living (ADLs), such as bathing, dressing, eating, and toileting. Home health aides can also provide companionship and emotional support.
Medical Social Services
Medical social services help you cope with the emotional and social challenges of illness or injury. Medical social workers can provide counseling, support groups, and referrals to community resources.
Nutritional Counseling
Nutritional counseling helps you improve your diet and overall health. Nutritional counselors can provide you with personalized meal plans and advice on how to make healthy choices.
Durable Medical Equipment
Durable medical equipment (DME) is equipment that is used to improve your mobility, safety, or independence. DME includes items such as wheelchairs, walkers, canes, and hospital beds.
Supplies
Supplies include items such as bandages, dressings, and incontinence pads. Supplies are covered when they are medically necessary.
Outpatient Hospital and Surgery Coverage
PEEHIP Alabama offers comprehensive outpatient hospital and surgery coverage to eligible members. This coverage helps cover the costs of medically necessary outpatient procedures, including:
1. Outpatient Surgery
PEEHIP covers a wide range of outpatient surgeries, such as:
- Biopsies
- Eye surgery
- Minor orthopedic procedures
- Plastic surgery
- Gynecological surgery
2. Diagnostic Tests
PEEHIP also covers diagnostic tests performed on an outpatient basis, including:
- Blood tests
- Imaging tests (such as X-rays, CT scans, MRIs)
- Electrocardiograms (ECGs)
- Electromyograms (EMGs)
- Ultrasound exams
3. Minor Medical Procedures
PEEHIP covers a range of minor medical procedures performed on an outpatient basis, such as:
- Injections
- Suturing
- Removal of cysts or warts
- I&D (incision and drainage) of abscesses
- Physical therapy
4. Emergency Care
PEEHIP provides coverage for emergency medical services, including outpatient services received at a hospital emergency room.
5. Urgent Care
PEEHIP also covers urgent care services received at an urgent care clinic, such as:
- Treatment for minor injuries
- Diagnosis and treatment of common illnesses
- Preventive care, such as immunizations and well-child checkups
6. Observation Services
PEEHIP covers observation services, which are provided in a hospital setting for patients who need to be monitored but do not require immediate medical intervention.
7. Anesthesia
PEEHIP covers anesthesia services provided during outpatient procedures.
8. Hospital Stays
While PEEHIP primarily covers outpatient services, it may also cover short hospital stays of up to 24 hours if medically necessary.
9. Durable Medical Equipment
PEEHIP covers durable medical equipment (DME) necessary for the diagnosis or treatment of a medical condition, such as:
- Wheelchairs
- Oxygen tanks
- Prosthetics
- Hospital beds
- Mobility aids
10. Transportation
PEEHIP provides reimbursement for transportation costs incurred to attend covered medical appointments, including:
- Mileage reimbursement
- Public transportation fares
- Taxi fares
Covered Charges
PEEHIP covers the following charges related to outpatient hospital and surgery procedures:
| Covered Charge |
|---|
| Facility fees |
| Physician fees |
| Anesthesia fees |
| Durable medical equipment |
| Transportation costs |
Copayments and Deductibles
PEEHIP members are responsible for copayments and deductibles as outlined in their specific health plan.
Emergency Room Coverage
The RSA Alabama PEEHIP insurance program provides coverage for emergency room (ER) visits if the member is experiencing a medical emergency. An ER visit is considered an emergency if the member is experiencing a sudden and severe illness or injury that requires immediate medical attention. Common examples of ER emergencies include chest pain, shortness of breath, severe bleeding, and head injuries.
Covered Services
The following services are typically covered under the RSA Alabama PEEHIP emergency room coverage:
- Examination by a physician
- Diagnostic tests (such as X-rays, blood tests, and CT scans)
- Treatment for the emergency condition
- Stabilization of the member’s condition
- Transfer to another facility if necessary
Cost-Sharing
Members are responsible for cost-sharing for ER visits, which may include a copayment, coinsurance, or deductible. The amount of cost-sharing varies depending on the plan and the type of emergency service provided.
Non-Emergency ER Visits
If a member uses the ER for a non-emergency condition, they may be responsible for the full cost of the visit. Non-emergency ER visits are typically for conditions that are not life-threatening and can be treated by a primary care physician or urgent care clinic.
Out-of-Network ER Visits
If a member receives ER care at an out-of-network facility, they may be responsible for a higher percentage of the cost-sharing. Out-of-network providers may not be covered by the RSA Alabama PEEHIP insurance program, and members may have to pay the full cost of the visit.
Pre-Authorization
Some ER visits may require pre-authorization from the insurance company before they are covered. Pre-authorization is typically required for non-emergency ER visits or for services that require a specialist or special equipment.
Urgent Care Coverage
In addition to ER coverage, the RSA Alabama PEEHIP insurance program also provides coverage for urgent care visits. Urgent care centers are typically less expensive than ERs and can treat a wide range of non-emergency conditions, such as colds, flu, and minor injuries.
Telehealth Coverage
Some PEEHIP plans also offer telehealth coverage, which allows members to consult with a doctor over the phone or video chat. Telehealth can be used for non-emergency conditions that do not require an in-person visit.
| Service | Cost-Sharing |
|---|---|
| Examination by a physician | Copayment or coinsurance |
| Diagnostic tests | Coinsurance or deductible |
| Treatment for the emergency condition | Coinsurance or deductible |
| Stabilization of the member’s condition | May be covered at no cost |
| Transfer to another facility | May be covered at no cost |
Occupational Therapy Coverage
Occupational therapy services are covered by the RSA Alabama PEEHIP insurance program in 2025. These services are designed to help people improve their functional abilities and independence in daily life activities. Occupational therapists assess a person’s needs and develop a treatment plan that may include:
- Activities of daily living (ADLs), such as bathing, dressing, and eating
- Instrumental activities of daily living (IADLs), such as cooking, cleaning, and managing finances
- Work skills training
- Cognitive rehabilitation
- Adaptive equipment training
Who is Eligible for Occupational Therapy Coverage?
Occupational therapy coverage is available to PEEHIP members who have a disability that affects their ability to perform ADLs or IADLs. This includes people with physical disabilities, cognitive disabilities, and mental health conditions.
How to Access Occupational Therapy Services
To access occupational therapy services, PEEHIP members must first obtain a referral from their primary care physician. The physician will need to document the member’s disability and how it affects their ability to function.
Once the referral has been obtained, the member can contact a participating occupational therapist. The therapist will conduct an evaluation to assess the member’s needs and develop a treatment plan.
What is the Cost of Occupational Therapy Services?
The cost of occupational therapy services will vary depending on the provider and the type of services provided. However, PEEHIP members will only be responsible for paying a small copayment for each visit.
What are the Benefits of Occupational Therapy?
Occupational therapy can provide a number of benefits for people with disabilities, including:
- Improved functional abilities
- Increased independence
- Reduced pain and discomfort
- Improved quality of life
14. Examples of Occupational Therapy Services
Occupational therapy services can be used to address a wide range of needs. The following are just a few examples of the types of services that may be provided:
- Activities of daily living (ADLs): Occupational therapists can help people with disabilities learn how to perform ADLs, such as bathing, dressing, and eating. This can help people to live more independently and improve their quality of life.
- Instrumental activities of daily living (IADLs): Occupational therapists can also help people with disabilities learn how to perform IADLs, such as cooking, cleaning, and managing finances. This can help people to live more independently and improve their ability to participate in community activities.
- Work skills training: Occupational therapists can help people with disabilities develop the skills they need to obtain and maintain employment. This may include training in job search techniques, resume writing, and interviewing skills. It may also include training in specific job skills, such as computer skills or customer service skills.
- Cognitive rehabilitation: Occupational therapists can help people with cognitive disabilities improve their cognitive skills, such as memory, attention, and problem-solving. This can help people to live more independently and participate more fully in their community.
- Adaptive equipment training: Occupational therapists can help people with disabilities learn how to use adaptive equipment, such as wheelchairs, walkers, and communication devices. This can help people to improve their mobility, independence, and quality of life.
| Type of Service | Description |
|---|---|
| Activities of daily living (ADLs) | Occupational therapists can help people with disabilities learn how to perform ADLs, such as bathing, dressing, and eating. |
| Instrumental activities of daily living (IADLs) | Occupational therapists can also help people with disabilities learn how to perform IADLs, such as cooking, cleaning, and managing finances. |
| Work skills training | Occupational therapists can help people with disabilities develop the skills they need to obtain and maintain employment. |
| Cognitive rehabilitation | Occupational therapists can help people with cognitive disabilities improve their cognitive skills, such as memory, attention, and problem-solving. |
| Adaptive equipment training | Occupational therapists can help people with disabilities learn how to use adaptive equipment, such as wheelchairs, walkers, and communication devices. |
Acupuncture Coverage
Acupuncture is a traditional Chinese medicine technique that involves inserting thin needles into the skin at specific points on the body. The points correspond to different energy channels or meridians, and the insertion of the needles is believed to promote healing and balance the body’s energy flow.
Coverage for Acupuncture in RSA Alabama PEEHIP Insurance Program 2025
The RSA Alabama PEEHIP Insurance Program 2025 includes coverage for acupuncture for the treatment of chronic pain. Coverage is limited to 12 sessions per year, and each session must be provided by a licensed acupuncturist.
Conditions Covered by Acupuncture
The RSA Alabama PEEHIP Insurance Program 2025 covers acupuncture for the treatment of the following chronic pain conditions:
- Back pain
- Neck pain
- Headaches
- Fibromyalgia
- Osteoarthritis
- Rheumatoid arthritis
- Carpal tunnel syndrome
What is not Covered
The RSA Alabama PEEHIP Insurance Program 2025 does not cover acupuncture for the treatment of any of the following:
- Cosmetic purposes
- Weight loss
- Smoking cessation
- Alcohol or drug addiction
- Mental health conditions
How to Access Acupuncture Coverage
To access acupuncture coverage under the RSA Alabama PEEHIP Insurance Program 2025, you must:
1. Get a referral from your primary care provider.
2. Schedule an appointment with a licensed acupuncturist.
3. Present your PEEHIP insurance card at the appointment.
Cost of Acupuncture
The cost of acupuncture varies depending on the provider and the number of sessions required. The PEEHIP insurance program will cover up to 80% of the cost of covered acupuncture services.
Acupuncture Safety
Acupuncture is generally considered safe when performed by a licensed acupuncturist. However, there are some potential side effects, such as bruising, bleeding, and infection. It is important to discuss any concerns with your acupuncturist before starting treatment.
Evidence for Acupuncture
There is some evidence to support the use of acupuncture for the treatment of chronic pain. A 2017 study published in JAMA Internal Medicine found that acupuncture was more effective than sham acupuncture in reducing pain and improving function in patients with chronic low back pain.
Conclusion
Acupuncture is a covered benefit under the RSA Alabama PEEHIP Insurance Program 2025 for the treatment of chronic pain. The program covers up to 12 sessions per year, and each session must be provided by a licensed acupuncturist.
Additional Information
For more information about acupuncture coverage under the RSA Alabama PEEHIP Insurance Program 2025, please contact your insurance provider or visit the PEEHIP website.
| Acupuncture Coverage Under the RSA Alabama PEEHIP Insurance Program 2025 |
|---|
|
Massage Therapy Coverage
The RSA Alabama PEEHIP Insurance Program provides coverage for massage therapy services under the Medical Assistance Program (MAP) and the Children’s Health Insurance Program (CHIP).
Covered Services
Covered massage therapy services include:
- Evaluation and assessment
- Treatment planning
- Manual therapy techniques
- Soft tissue mobilization
- Myofascial release
- Neuromuscular therapy
- Trigger point therapy
- Cupping
- Gua Sha
- Other modalities as approved by the medical director
Conditions Covered
Massage therapy is covered for the treatment of a variety of conditions, including:
- Musculoskeletal pain and dysfunction
- Headaches
- Stress and anxiety
- Chronic pain
- Fibromyalgia
- Multiple sclerosis
- Parkinson’s disease
- Autism spectrum disorder
- Other conditions as determined by the medical director
Provider Qualifications
Massage therapists providing services under the PEEHIP program must meet the following qualifications:
- Licensed or certified by the Alabama Board of Massage Therapy
- Completed at least 500 hours of massage therapy training from an accredited school
- Have at least two years of post-licensure experience
- Be in good standing with the Alabama Board of Massage Therapy
Billing and Reimbursement
Massage therapy services are billed using the following CPT codes:
| CPT Code | Description |
|---|---|
| 97124 | Massage therapy, 15 minutes |
| 97125 | Massage therapy, 30 minutes |
| 97140 | Massage therapy, 60 minutes |
| 97150 | Massage therapy, 90 minutes |
Reimbursement rates are set by the PEEHIP program and are based on the type of service and the duration of the session.
Limits and Exclusions
The following limits and exclusions apply to massage therapy coverage:
- A maximum of 12 massage therapy sessions per member per year
- Massage therapy services are not covered for cosmetic purposes
- Massage therapy services are not covered for members who are pregnant
- Other limits and exclusions may apply
Members should consult with their healthcare provider to determine if massage therapy is appropriate for their condition and to obtain a referral for covered services.
Nutrition Counseling Coverage
The RSA Alabama PEEHIP Insurance Program covers nutrition counseling services to help members manage their health and well-being. These services are provided by registered dietitians or other qualified healthcare professionals who specialize in nutrition.
Covered Services
Covered nutrition counseling services include:
- Nutritional assessments
- Development of personalized nutrition plans
- Education on healthy eating habits
- Counseling on weight management and eating disorders
- Monitoring and support for nutritional needs
Benefits of Nutrition Counseling
Nutrition counseling can provide numerous benefits, including:
- Improved overall health and well-being
- Prevention and management of chronic diseases such as diabetes, heart disease, and obesity
- Enhanced athletic performance
- Increased self-confidence and motivation
- Reduced healthcare costs
Eligibility for Nutrition Counseling
To be eligible for nutrition counseling coverage under the RSA Alabama PEEHIP Insurance Program, members must:
- Have a medical condition that requires nutritional counseling
- Be referred by a healthcare provider
- Meet income and eligibility requirements set by the program
Frequency and Duration of Coverage
The frequency and duration of nutrition counseling coverage will vary depending on the member’s individual needs and the requirements of their specific plan. Coverage may include:
- Initial assessment and development of a nutrition plan
- Ongoing follow-up appointments for monitoring and support
- Group nutrition counseling sessions
How to Access Nutrition Counseling
To access nutrition counseling services, members can:
- Contact their healthcare provider for a referral
- Visit the RSA Alabama PEEHIP website for a list of covered providers
- Call the RSA Alabama PEEHIP Member Services Department for assistance
Out-of-Pocket Costs
Members may have to pay out-of-pocket costs for nutrition counseling services, such as:
- Copays
- Deductibles
- Coinsurance
The amount of out-of-pocket costs will vary depending on the member’s specific plan and the type of nutrition counseling services received.
Covered Nutrition Counseling Services
The following table summarizes the covered nutrition counseling services under the RSA Alabama PEEHIP Insurance Program:
| Service | Coverage |
|---|---|
| Nutritional assessment | Covered |
| Development of personalized nutrition plan | Covered |
| Education on healthy eating habits | Covered |
| Counseling on weight management and eating disorders | Covered |
| Monitoring and support for nutritional needs | Covered |
Substance Abuse Coverage
The RSA Alabama PEEHIP insurance program provides coverage for substance abuse treatment in a variety of settings, including inpatient and outpatient care, as well as medical detoxification. Coverage is available for both acute and chronic substance use disorders, and includes a comprehensive range of services such as:
- Medical evaluation and diagnosis
- Individual and group therapy
- Medication-assisted treatment
- Case management
- Recovery support services
Treatment Settings
PEEHIP covers substance abuse treatment in the following settings:
- Inpatient rehabilitation facilities
- Outpatient treatment programs
- Partial hospitalization programs
- Intensive outpatient programs
- Medication-assisted treatment programs
- Sober living houses
Types of Substance Use Disorders Covered
PEEHIP covers treatment for a wide range of substance use disorders, including:
- Alcohol use disorder
- Opioid use disorder
- Cocaine use disorder
- Methamphetamine use disorder
- Prescription drug use disorder
- Polysubstance use disorder
Coverage Limitations
PEEHIP coverage for substance abuse treatment is subject to the following limitations:
| Service | Benefit Limit |
|---|---|
| Inpatient Treatment | 30 days per calendar year |
| Outpatient Treatment | 60 visits per calendar year |
| Partial Hospitalization Treatment | 30 days per calendar year |
| Intensive Outpatient Treatment | 60 visits per calendar year |
| Medication-Assisted Treatment | 12 months per calendar year |
| Sober Living Houses | 30 days per calendar year |
How to Access Treatment
To access substance abuse treatment through PEEHIP, you must first contact your primary care provider (PCP). Your PCP will conduct an assessment to determine if you meet the PEEHIP criteria for substance abuse treatment. If you do, your PCP will refer you to a qualified treatment provider.
Additional Resources
For more information on substance abuse treatment covered by PEEHIP, please visit the following resources:
- RSA Alabama PEEHIP website
- Substance Abuse and Mental Health Services Administration (SAMHSA) website
Hospice Care Coverage
The RSA Alabama PEEHIP insurance program offers comprehensive hospice care coverage for terminally ill individuals and their families. This coverage helps alleviate the physical, emotional, and spiritual burdens associated with end-of-life care.
Eligibility
To qualify for hospice care coverage under the PEEHIP program, individuals must meet the following criteria:
*
- Have a life expectancy of six months or less, as certified by a physician
- Have a terminal illness, such as cancer, heart failure, or Alzheimer’s disease
- Choose to receive hospice care in lieu of curative treatment
Services Covered
The PEEHIP hospice care coverage includes a wide range of services designed to provide comfort and support to terminally ill beneficiaries and their loved ones. These services include:
*
- Nursing care
- Medical social work
- Spiritual counseling
- Bereavement counseling
- Medications related to the hospice diagnosis
- Medical equipment and supplies
- Short-term inpatient care for respite or symptom management
Palliative Care
Palliative care is a specialized form of hospice care that focuses on managing pain and other symptoms associated with a terminal illness. The PEEHIP hospice care coverage includes palliative care services, such as:
*
- Pain management
- Symptom management
- Emotional and spiritual support
- Advance care planning
Respite Care
Respite care provides temporary relief to caregivers by offering short-term inpatient care for the hospice beneficiary. Respite care is often used to provide relief from the physical and emotional demands of caring for a terminally ill loved one.
Bereavement Counseling
The PEEHIP hospice care coverage includes bereavement counseling for family members and other loved ones of the hospice beneficiary. Bereavement counseling provides support and guidance during the grieving process.
Duration of Coverage
Hospice care coverage under the PEEHIP program is provided for up to 180 days. This coverage can be extended for additional 90-day periods if the beneficiary continues to meet the eligibility criteria.
Specific Coverage Information
The following table provides additional details about specific coverage under the PEEHIP hospice care program:
| Service | Coverage |
|---|---|
| Nursing care | Provided on an intermittent basis as needed |
| Medical social work | Provided as needed for assessment, counseling, and support |
| Spiritual counseling | Provided as needed for spiritual support and guidance |
| Bereavement counseling | Provided for up to 13 months following the death of the hospice beneficiary |
| Medications | Covered for the hospice diagnosis only |
| Medical equipment and supplies | Covered as needed for the comfort and care of the hospice beneficiary |
| Short-term inpatient care | Provided for respite or symptom management, up to 5 days at a time |
Laundry Service Coverage
The RSA Alabama PEEHIP insurance program offers laundry service coverage to help you maintain a clean and healthy living environment. This coverage includes:
Covered Services
The following laundry services are covered:
- Washing and drying clothes, bedding, and linens
- Ironing and pressing
- Dry cleaning
- Spot removal
- Minor repairs to clothing, such as mending tears or sewing on buttons
Who is Eligible?
To be eligible for laundry service coverage, you must be an RSA Alabama PEEHIP insurance program member who meets the following criteria:
- Aged 65 or older
- Disabled
- Living in an assisted living facility or nursing home
How to Use the Coverage
To use the laundry service coverage, you can contact a participating laundry service provider and present your RSA Alabama PEEHIP insurance card. The provider will then bill the insurance program directly for the services rendered.
Participating Providers
A list of participating laundry service providers can be found online or by calling the RSA Alabama PEEHIP insurance program customer service number.
Coverage Limitations
The laundry service coverage has the following limitations:
- Services are limited to one load of laundry per week.
- Dry cleaning is limited to two garments per month.
- Minor repairs to clothing are limited to $25 per item.
Coverage Amounts
The RSA Alabama PEEHIP insurance program provides the following maximum coverage amounts for laundry services:
| Service | Maximum Coverage |
|---|---|
| Washing and drying | $10 per load |
| Ironing and pressing | $5 per item |
| Dry cleaning | $15 per garment |
| Spot removal | $5 per item |
| Minor repairs | $25 per item |
Deductible
The RSA Alabama PEEHIP insurance program has no deductible for laundry service coverage.
Copayments
There are no copayments for laundry service coverage.
Legal Services Coverage
The RSA Alabama PEEHIP Insurance Program offers comprehensive legal services coverage to its members in 2025. This coverage includes a wide range of legal services, including:
Representation in Court
PEEHIP covers the cost of legal representation in court for a variety of civil matters, including:
– Contract disputes
– Landlord/tenant disputes
– Family law matters
– Employment law matters
– Personal injury cases
Legal Advice and Consultation
PEEHIP members can also receive free legal advice and consultation from a network of experienced attorneys. This service can be helpful for members who have legal questions but do not need to go to court.
Document Review
PEEHIP also covers the cost of document review by an attorney. This service can be helpful for members who need to review contracts, leases, or other legal documents.
Legal Research
PEEHIP members can also access legal research services through a network of law libraries and databases. This service can be helpful for members who need to research legal issues on their own.
Mediation and Arbitration
PEEHIP also covers the cost of mediation and arbitration services. These services can help members resolve legal disputes without going to court.
44. Other Legal Services
In addition to the services listed above, PEEHIP also covers a variety of other legal services, including:
– Estate planning
– Tax preparation
– Business formation
– Real estate transactions
– Immigration law
– Bankruptcy law
The following table provides a summary of the legal services covered by PEEHIP in 2025:
| Service | Coverage |
|---|---|
| Representation in Court | Up to $1,000 per case |
| Legal Advice and Consultation | Up to 3 hours per year |
| Document Review | Up to 10 pages per year |
| Legal Research | Up to 2 hours per year |
| Mediation and Arbitration | Up to $500 per case |
| Other Legal Services | Up to $1,000 per year |
PEEHIP’s legal services coverage is designed to provide members with access to affordable, high-quality legal services. Members can use these services to protect their rights, resolve legal disputes, and plan for the future.
Coverage Options for RSA Alabama PEEHIP Insurance Program 2025
The RSA Alabama PEEHIP Insurance Program offers a comprehensive range of coverage options tailored to meet the unique needs of public employees and their dependents. These coverages include:
- Medical
- Dental
- Vision
- Life insurance
- Disability insurance
Each coverage option offers a variety of plan levels to choose from, allowing employees to customize their coverage to their specific needs and financial circumstances. The program also features a user-friendly online portal where employees can access their coverage details, file claims, and make changes to their plan.