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Coventry, Georgia
Exclusions & Limitations
Georgia only
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Exclusions & Limitations for Georgia
Services and supplies that are generally not covered include, but are not limited to:
Maternity care
Sterilization and infertility
Treatment of mental disorders or alcohol and/or drug abuse
Cosmetic services and surgery
Services not medically necessary
Experimental procedures or treatments
Gastric bypass surgery
Food or food supplements
Custodial care
Routine foot care
Eyeglasses and corrective lenses (except following cataract surgery)
Corrections for refractive errors of the eye
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