2010 Services Not Covered

Vouchers will not be issued for the following items:  This list is not an all-inclusive list - please check with Central Office if questions. List updated December 2010

Hospital
In-Patient and Out-Patient surgery
In-Patient and Out-Patient care
Emergency Room

Office Visits for the Following:
Hair Loss
Physical Exams: Athletic, Military and Employment-related
Driver's License Physical Exams
Automobile Accidents
Work Related Injuries
Alcohol/Drug Related Injuries
Altercation Related Injuries
Post Operative Exams
Weight Loss Program
Cosmetic Procedures

Persons that are Incarcerated (No medical, dental, or pharmacy coverage)

Pharmacy/Medications
No RX Strength for: Advil, Ibuprofen, Motrin
Naproxen
Viagra
OTCs
Medications not covered by Medical Assistance/Medicare/Private Insurance
Medications Related to the Following:

• Acne
• Fertility/Impotence
• Vitamins
• Nicotine Patches
• Rogaine
• Diet/Weight Loss
• MVAs
• Experimental Drugs
• Work Related Injuries/Accidents
• Altercation Related Injuries

Dental
Dentures (includes repairs)
Bridges
Braces (includes adjustments)
Crowns
Root Canals

Equipment/Supplies
Support Hose (TED Hose)
Dressing Supplies, Ace Bandages
Wheel Chairs, Braces, Splints
Hot Water Bottles, Heating Pads
Crutches
Sun Screen, Insect Repellant
Miscellaneous Appliances
Batteries for Pens and Blood Sugar Machines
Diabetic Supplies (i.e. Syringes, lancets, test strips, meters, batteries)