| Proposed component | Evidence to request | What the answer resolves |
|---|---|---|
| Prescribed hydrotherapy | Exact treatment, eligible underlying condition and selected benefit. | Whether the recovery category reaches this service. |
| Acupuncture in the same package | Its own benefit selection and practitioner requirement. | Whether a separate option is needed. |
| Massage or general conditioning | The particular service clause and medical purpose. | Whether an excluded modality or maintenance limitation applies. |
| Sessions delivered by clinic staff | Staff credentials and the actual supervisory arrangement. | Whether the provider definition is met. |
This is a hypothetical package for reviewing contract boundaries, not a prescribed course of treatment or an assertion that all four services are needed. Ask the clinic to describe its services accurately. Do not rename an excluded treatment or change the medical purpose on a claim.
It excludes CBD, aromatherapy and pre-existing-condition treatment, and retains the base deductible and coinsurance. A broad “alternative care” label therefore cannot substitute for the named service.