I am the law
Chicago,#2Consumer Comment
Tue, September 20, 2011
I know this one. Look in your exclusions and limitations section of your certificate.
Services required for attending school or camp, getting on a sports team, traveling, marriage, or court appearances are usually not covered. In other words, the services aren't denying; the REASON for the services is. Another example would be: immunizations are covered, but immunizations for going to Africa aren't. Same service; different reason. (The diagnosis on this claim is most likely V70.3, which is the same as writing "not medically necessary" on the claim.)
Hope this helps.