Open Enrollment 2018

Excluded Services & Other Covered Services: Services Your Plan Does NOT Cover (This isn’t a complete list. Check your policy or plan document for other excluded services.) • Acupuncture

• Long-term care • Non-emergency care when traveling outside the U.S. • Private-duty nursing

• Routine foot care • Weight loss programs

• Cosmetic surgery • Dental care (Adult)

Other Covered Services (This isn’t a complete list. Check your policy or plan document for other covered services and your costs for these services.)

• Bariatric surgery • Chiropractic care • Hearing aids

• Infertility treatment • Most coverage provided outside the United States.

• Routine eye care (Adult) • Termination of pregnancy, except in limited circumstances

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CareFirst SBC ID: SBC20170403MANBHHMMX98RXCMMX90N012017