Excluded Services and Other Covered Services
Services Your Plan Generally Does NOT Cover
Check your policy or plan document for more information and a full list of excluded services.
Acupuncture
Cosmetic surgery (except after mastectomy or due to defect from traumatic injury or disease)
Dental care (Adult)
Dental care (Children)
Hearing aids
Infertility treatment
Routine eye care (Adult)
Routine eye care (Children)
Routine foot care
Weight loss programs (except as required by ACA)
Other Covered Services
Limitations may apply to these services. This isn't a complete list. Please see your plan document for more details.
Bariatric surgery (prior approval required)
Chiropractic services (limited to 30 visits per year)
Non-emergency care when traveling outside the U.S.
Private-duty nursing (prior approval required)