Exclusions and Limitations Exclusions The following section provides you with information on what services and supplies Kaiser Permanente
will not pay for regardless of whether the service is medically necessary or not.
The services and supplies listed below are excluded from coverage. These exclusions apply to all
services and supplies that would otherwise be covered the plan. When a service or supply is excluded,
all services and supplies related to that excluded service or supply are also excluded, even if they would
otherwise be covered under this plan.
(1) Services that are not medically necessary.
(2) Services performed or prescribed under the direction of a person who is not a health care practitioner. (3) Services that are beyond the scope of practice of the health care practitioner performing the service. (4) Services to the extent they are covered by any government unit, except for veterans in Veterans' Administration or armed forces facilities for services received for which the recipient is liable. (5) Services for which a Covered Person is not legally, or as a customary practice, required to pay in the absence of a health benefit plan. (6) The purchase, examination, or fitting of eyeglasses or contact lenses, except for aphakic patients and soft or rigid gas permeable lenses or sclera shells intended for the use in the treatment of a disease or
injury.
(7) Personal care services and domiciliary care services. (8) Services rendered by a health care practitioner who is a Covered Person's spouse, mother, father, daughter, son, brother or sister. (9) Experimental services. (10) Practitioner, hospital, or clinical services related to radial keratotomy, myopic keratomileusis, and surgery which involves corneal tissue for the purpose of altering, modifying, or correcting myopia,
hyperopia, or stigmatic error.
(11) In vitro fertilization, ovum transplants and gamete intrafallopian tube transfer, zygote intrafallopian transfer, or cryogenic or other preservation techniques used in these or similar procedures. (12) Services to reverse a voluntary sterilization procedure. (13) Services for sterilization or reverse sterilization for a dependent minor. (14) Medical or surgical treatment for obesity, unless otherwise specified in the "Covered Services" section of this EOC. (15) Medical or surgical treatment for reducing or controlling weight, unless otherwise specified in the "Covered Services" section of this EOC. (16) Services incurred before the effective date of coverage for a Covered person. (17) Services incurred after a Covered Person's termination of coverage, except as provided in the Extension of benefits provision of this EOC.
(18) Surgery or related services for cosmetic purposes to improve appearance, but not to restore bodily function or correct deformity resulting from disease, trauma, or congenital or developmental
anomalies.
(19) Services for injuries or diseases related to a Covered Person's job to the extent the Covered Person is required to be covered by a workers' compensation law. (20) Services rendered from a dental or medical department maintained by or on behalf of an employer, mutual benefit association, labor, union, trust, or similar persons or groups. (21) Personal hygiene and convenience items, including, but not limited to, air conditioners, humidifiers, or physical fitness equipment. (22) Charges for telephone consultations, failure to keep a scheduled visit, or completion of any form. (23) Inpatient admissions primarily for diagnostic studies, unless authorized by Carrier. (24) The purchase, examination, or fitting of hearing aids and supplies, and tinnitus maskers. (25) Except for covered ambulance services, travel, whether or not recommended by a health care practitioner. (26) Except for emergency services, services received while the Covered Person is outside the United States. (27) Immunizations related to foreign travel. (28) Unless otherwise specified under the "Covered Services" section of this EOC, dental work or    treatment which includes hospital or professional care in connection with:
(a) the operation or treatment for the fitting or wearing of dentures;
(b) orthodontic care or malocclusion;
(c) operations on or for treatment of or to the teeth or supporting tissues of the teeth, except for
       removal of tumors and cysts or treatment of injury to natural teeth due to an accident if the
       accident occurs while the patient is insured and the treatment is received within 6 months of the
       accident; and,
(d) dental implants.
(29) Accident occurring while and as a result of chewing. (30) Routine foot care, including the paring or removing of corns and calluses, or trimming of nails, unless these services are determined to be medically necessary. (31) Arch support, orthotic devices, in-shoe supports, orthopedic shoes, elastic supports, or exams for their prescription or fitting, unless these services are deemed to be medically necessary. (32) Inpatient admissions primarily for physical therapy, unless authorized by Carrier. (33) Treatment leading to or in connection with transsexualism, or sex changes or modifications, including but not limited to surgery. (34) Treatment of sexual dysfunction not related to organic disease. (35) Services that duplicate benefits provided under federal, State, or local laws, regulations or program. (36) Organ transplants except those specified in the "Covered Services" section of this EOC. (37) Non human organs and their implantation.
(38) Nonreplacement fees for blood and blood products. (39) Lifestyle improvements, including nutrition counseling, or physical fitness programs, unless included as a "Covered Service". (40) Wigs or cranial prosthesis. (41) Weekend admission charges, except for emergencies and maternity, unless authorized by Carrier. (42) Outpatient orthomolecular therapy, including nutrients, vitamins, and food supplements. (43) Temporomandibular joint syndrome (TMJ) treatment and treatment for craniomandublar pain sydnrome (CPS), except for surgical services for TMJ and CPS, if medically necessary and if there is
a clearly demonstrable radiographic evidence of joint abnormality due to disease or injury.
(44) Services for conditions that State or local laws, regulations, ordinances, or similar provisions require to be provided in a public institution. (45) Services for, or related to, the removal of an organ from a Covered Person for the purposes of    transplantation into another person unless the:
(a) transplant recipient is covered under Carrier and is undergoing a covered transplant; and,
(b) services are not payable by another carrier.
(46) Physical examinations required for obtaining or continuing employment, insurance, or government licensing. (47) Non-medical ancillary services such as vocational rehabilitation, employment counseling, or educational therapy. (48) Private hospital room unless authorized by Carrier. (49) Private duty nursing, unless authorized by Carrier. (50) Treatment for mental health or substance abuse not authorized by Carrier through its managed care system, or a mental health or substance abuse condition determined by Carrier through its managed
care system to be untreatable.
(51) Services related to smoking cessation. * Limitation
Inpatient mental health and substance abuse services are provided up to a maximum of 60 days per
person per year in a hospital or related institution.