What's Not Covered

Services Not Covered

  • Cosmetic surgery unless medically necessary
  • Diagnosis and treatment for infertility
  • Alternative treatments such as acupuncture and homeopathy
  • Experimental treatments or drugs not approved by the FDA
  • Personal comfort items including air conditioners, radios, telephones and televisions
  • Services not otherwise covered by New Hampshire Medicaid Program, except as determined by Well Sense Health Plan to be necessary for your continuing health and well-being
  • Certain non-covered laboratory services
  • Services provided outside the United States and its territories
  • Drugs listed as "excluded" on our drug list formulary

For a complete list of services that are not covered, please see your Member Handbook.

What do I do if a treatment is not covered?