What does medically necessary mean?

We cover services prescribed by a licensed provider for health reasons, which means things like cosmetic and elective procedures may not be covered. Whether something is medically necessary is determined by Sidecar Health. Please refer to your plan’s Certificate of Coverage for exact details about what procedures and drugs are covered by your plan. To find your Certificate of Coverage, go to your My coverage page in your account, click on the three-line menu, and select “Full benefits.” 

If you have any questions about whether a service is medically necessary or covered by your Sidecar Health employer plan, please call your Member Care team at [phone].