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 |