Understanding the scope of your health insurance coverage is crucial, including knowing what is not covered. At Bastion Health, we strive to provide comprehensive health plans tailored to a variety of needs. However, like all health insurance providers, there are certain exclusions within our plans. These exclusions mean that for specific healthcare services, the cost would not be covered by Bastion Health, requiring the beneficiary to pay out of pocket.
- All investigations, consultations, medications, procedures, and treatments not covered by the chosen plan
- All types of dental or orthodontic cosmetic procedures including cost of consultation, examination, medication, procedures, follow-up visits
- Alternative/Unorthodox medicine
- Civil Disobedience
- Conditions caused by an act of war, an epidemic or enrolee participating in a riot.
- Cosmetic treatments and procedures
- Domestic Violence
- Domiciliary/Hospice care
- Epidemic and Pandemic
- Neonatal care not listed under neonatal services.
- Professional Sports and wilful exposure to needless danger
- Self-inflicted injuries
- Services primarily for weight reduction or treatment of obesity
- Supplements
- Teeth whitening, Braces, Veneers, Aligners, Crowns, Tooth replacement, Cosmetic dental surgical and non-surgical procedures.
Plan-Specific Exclusions
Please note, the above list is not exhaustive. Additional exclusions may apply depending on the specific details of your health plan. We encourage our enrolees to review their plan documents carefully or contact our Support team for a comprehensive understanding of their coverage limits.
Why Exclusions Exist
Exclusions are necessary to keep health plans affordable for all our enrolees. By focusing coverage on essential and broadly needed healthcare services, we can offer plans that provide significant value while maintaining sustainability.
Need More Information?
For details on the exclusions specific to your chosen plan, please contact our Support team. Understanding your health insurance coverage in full helps you make informed decisions about your healthcare and financial planning. Bastion Health is here to assist you every step of the way!