Blue Cross Blue Shield of Kansas

Important Information about Comprehensive Major Medical

Coverage is limited to those charges that are medically necessary, as described in the plan document.   Exclusions: The following procedures and all related services and supplies are not covered under this program.  Services provided directly for or relative to diseases or injuries caused by or arising out of acts of war, insurrection, rebellion, armed invasion, or aggression; duplicate benefits provided under federal, state of local laws, regulation or programs, except Medicaid; cosmetic or reconstructive surgery (except as stated in the certificate); any keratotomy procedures; charges for personal items; convalescent or custodial / maintenance care of rest cures; blood or payments to donors of blood, any service or supply related to the medical management of obesity; charges for services by immediate relatives or by members of your household; acupuncture and admissions for acupuncture; services related to temporomandibular joint dysfunction syndrome over the amount specified in the certificate; dental implants; services or supplies related to sex changes, sexual dysfunctions or inadequacies; any medically aided insemination procedure; services related to the reversal of sterilization procedures; treatment of nervous or mental conditions over the amount specified in the certificate; hearing aids; eyeglasses or contact lenses (except after the removal of cataracts); unnecessary services and admissions; services or supplies which are experimental or investigative in nature; services not specifically listed as benefits in the certificate; services covered and payable by any medical expense payment provision of any automobile insurance policy. 

The above Benefit Summaries are brief summaries of the coverage available under this program.  They are not legal documents and the exact provisions of the benefits and exclusion are contained in the actual policy certificates.