What is an excluded service?

An excluded service is a type of health care service that is not covered by health insurance under the law in Texas. An example of an excluded service would be cosmetic procedures such as teeth whitening, Botox or dermal fillers. Other services such as elective surgeries, medication refills, and non-emergency services may also be excluded services under the law. Excluded services generally do not provide a medical benefit but are considered a luxury. Insurance companies use the term “excluded service” to define procedures and services which are outside the scope of coverage. In addition, some medicines and treatments may not be covered if they are deemed to be experimental or investigational in nature. It is important to understand what services are excluded when you are researching health insurance plans in Texas. It is also important to understand if a plan covers a certain service. This can help you make an informed decision when selecting a health care plan that best meets your needs.

Related FAQs

What is a pre-authorization?
What is a Grace Period?
What is a reimbursement summary?
What is a health insurance plan selector tool?
What is a health insurance marketplace?
What is a qualified health plan (QHP)?
What is a self-funded plan?
What is co-insurance?
What is a policyholder?
What is a flexible spending account (FSA)?

What is an excluded service?

Related FAQs

Related Blog Posts