General Exclusions & Limitations

Benefit plans typically have exclusions and limitations – what the plans do not cover.   Listed here are general exclusions and limitations for LifeWise Health Plan of Washington benefit plans.  Plans are only available to WA state residents under age 65 and exclude those eligible for Medicare.  Eligible family members include unmarried children under age 25.

 

Please note that this is not a contract, nor is it a complete explanation of the exclusions & limitations for LifeWise Health Plan of Washington plans.  The complete terms of coverage are determined by the contract.  If you would like a sample contract, please contact Green Financial.

 

What is not covered?

Benefits are not provided for treatment, surgery, services, drugs or supplies for any of the following:

 

 

Other exclusions and limitations

 

Waiting periods

There is a 9-month waiting period for pre-existing conditions, unless otherwise specified.  In certain circumstances LifeWise will waive or credit this waiting period based on current or prior coverage.  Treatment related to transplants requires a 12-month waiting period.

          

                                                                

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