Genesee Health Plan does not cover the following services. Payment will not be made for:
- Inpatient hospital services
- Case management
- Custodial or nursing home care
- Chiropractic services
- Experimental procedures, treatments or drugs
- Comfort or convenience items
- Prosthetics and orthotics, corrective shoes or wigs
- Speech, physical or occupational therapy
- Urgent care clinics–facility charges
- Private duty nurses
- Hearing aid services or materials
- Weight reduction services or programs (non surgical weight reduction services)
- Services considered to be cosmetic (those not considered a medical necessity)
- Home health services or personal care
- Hospice care
- Services or supplies related to sex or gender change
- Vision exams, eyeglasses or contact lenses (exams by referral related to chronic illness are covered)
- Podiatry services (exams by referral due to chronic illness are covered)
- Dental services
- Smoking cessation programs
- Transportation (non-ambulance)
- Emergency transportation by air
- Any condition for which an enrollee is eligible to receive health care services or benefits through a public or private benefit, program or insurance
- Lodging expenses
- Office visits, exams, treatments or tests related to documentation of health for employment, insurance, marriage license, school, sports physicals, citizenship or any legal proceeding or court-mandated activity
- Services received before the effective date of coverage or after the termination of enrollment
- Over-the-counter medicines or supplies such as first aid materials or vitamins
- Services not approved by the GHP doctor on your enrollment card or a specialist you are referred to
- Services that are not medically necessary
- Immunizations required for travel
- Maternity or obstetrical services*
*You should contact the Genesee County Michigan Department of Human Services office (formerly known as the Genesee County Family Independence Agency) or Department of Human Services if you become pregnant while a member of Genesee Health Plan. Ask about Medicaid eligibility as soon as possible. Remember to avoid drugs and alcohol if you think you could be pregnant.