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Assurant Health

Assurant Health - Online Application

Index | Exclusions & Limitations | Provider Directory

Benefit Schedules:
Catastrophic | Comprehensive | HSA
Rate Schedules:
Catastrophic | Comprehensive | HSA
Exclusions Summary

MEDICAL PLANS
No benefits are provided for the following:

Comprehensive
Catastrophic
HSA

Charges incurred due to a pre-existing condition until you have been continuously insured for nine months. Any pre-existing conditions limitation does not apply to covered enrollees under 19 years of age

Sickness or injury caused by war, participation in a felony, attempted suicide or a hazardous activity for which compensation is received

Routine hearing care, routine vision care, vision therapy, surgery to correct vision, routine foot care or foot orthotics

Cosmetic services, including chemical peels, plastic surgery and medications

Charges by a health care practitioner or medical provider who is an immediate family member. Immediate family members are you, your spouse, your children, brothers, sisters, parents, their spouses and anyone with whom legal guardianship has been established

Custodial care

Charges reimbursable by Medicare, Workers’ Compensation or automobile insurance carriers

Growth hormone stimulation treatment to promote or delay growth

Routine dental care

Services provided through a school system

Diagnosis and treatment of infertility

Pregnancy, maternity and other expenses related to surrogate pregnancy

Storage of umbilical cord stem cells or other blood components in the absence of sickness or injury

Genetic testing, counseling and services

Charges for sex transformation, treatment of sexual dysfunction or inadequacy, or to restore or enhance sexual performance or desire

Over-the-counter products

Drugs not approved by the FDA

Drugs obtained outside the United States

Treatment of “quality of life” or “lifestyle” concerns, including, but not limited to: smoking cessation, obesity, hair loss or cognitive enhancement

Cranial orthotic devices, except following cranial surgery

Experimental or investigational services

Charges in excess of any benefit maximum

Charges for non-medical items

Charges related to health care practitionerassisted suicide

Treatment of substance abuse, including related prescription drugs

Charges incurred due to a pre-existing condition until you have been continuously insured for nine months. Any pre-existing conditions limitation does not apply to covered enrollees under 19 years of age

Sickness or injury caused by war, participation in a felony, attempted suicide or a hazardous activity for which compensation is received

Routine hearing care, routine vision care, vision therapy, surgery to correct vision, routine foot care or foot orthotics

Cosmetic services including chemical peels, plastic surgery and medications

Charges by a health care practitioner or medical provider who is an immediate family member. Immediate family members are you, your spouse, your children, brothers, sisters, parents, their spouses and anyone with whom legal guardianship has been established

Custodial care

Charges reimbursable by Medicare, Workers’ Compensation or automobile insurance carriers

Growth hormone stimulation treatment to promote or delay growth

Routine dental care

Services provided through a school system

Diagnosis and treatment of infertility

Pregnancy, maternity and other expenses related to surrogate pregnancy

Storage of umbilical cord stem cells or other blood components in the absence of sickness or injury

Genetic testing, counseling and services

Charges for sex transformation, treatment of sexual dysfunction or inadequacy, or to restore or enhance sexual performance or desire

Over-the-counter products

Outpatient prescription drugs

Treatment of “quality of life” or “lifestyle” concerns, including, but not limited to: smoking cessation, obesity, hair loss or cognitive enhancement

Cranial orthotic devices, except following cranial surgery

Experimental or investigational services

Charges in excess of any benefit maximum

Charges for non-medical items

Charges related to health care practitioner assisted suicide

Treatment of substance abuse, including related prescription drugs

Charges incurred due to a pre-existing condition until you have been continuously insured for nine months. Any pre-existing conditions limitation does not apply to covered enrollees under 19 years of age

Sickness or injury caused by war, participation in a felony, attempted suicide or a hazardous activity for which compensation is received

Routine hearing care, routine vision care, vision therapy, surgery to correct vision, routine foot care or foot orthotics

Cosmetic services including chemical peels, plastic surgery and medications

Charges by a health care practitioner or medical provider who is an immediate family member. Immediate family members are you, your spouse, your children, brothers, sisters, parents, their spouses and anyone with whom legal guardianship has been established

Custodial care

Charges reimbursable by Medicare, Workers’ Compensation or automobile insurance carriers

Growth hormone stimulation treatment to promote or delay growth

Routine dental care

Services provided through a school system

Diagnosis and treatment of infertility

Pregnancy, maternity and other expenses related to surrogate pregnancy

Storage of umbilical cord stem cells or other blood components in the absence of sickness or injury

Genetic testing, counseling and services

Charges for sex transformation, treatment of sexual dysfunction or inadequacy, or to restore or enhance sexual performance or desire

Over-the-counter products

Outpatient prescription drugs

Treatment of “quality of life” or “lifestyle” concerns, including, but not limited to: smoking cessation, obesity, hair loss or cognitive enhancement

Cranial orthotic devices, except following cranial surgery

Experimental or investigational services

Charges in excess of any benefit maximum

Charges for non-medical items

Charges related to health care practitioner assisted suicide

Treatment of substance abuse, including related prescription drugs



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