01/01/2026 ASO Open Access Plus - OAP Traditional Plan Proclaim - 37302332 - V 33 - 10/20/25 05:18 PM ET 17 of 18 ©Cigna 2025 Exclusions Prostheses" sections of this plan.  Private Hospital rooms and/or private duty nursing except as provided under the Home Health Services provision.  Personal or comfort items such as personal care kits provided on admission to a Hospital, television, telephone, newborn infant photographs, complimentary meals, birth announcements, and other articles which are not for the specific treatment of an Injury or Sickness.  Artificial aids including, but not limited to, corrective orthopedic shoes, arch supports, elastic stockings, garter belts, corsets and dentures.  Aids or devices that assist with non-verbal communications, including but not limited to communication boards, pre-recorded speech devices, laptop computers, desktop computers, Personal Digital Assistants (PDAs), Braille typewriters, visual alert systems for the deaf and memory books.  Eyeglass lenses and frames and contact lenses (except for the first pair of contact lenses for treatment of keratoconus or post cataract surgery).  Routine refractions, eye exercises and surgical treatment for the correction of a refractive error, including radial keratotomy.  Treatment by acupuncture.  All non-injectable prescription drugs, unless Physician administration or oversight is required, injectable prescription drugs to the extent they do not require Physician supervision and are typically considered self-administered drugs, non-prescription drugs, and investigational and experimental drugs, except as provided in this plan.  Routine foot care, including the paring and removing of corns and calluses or trimming of nails. However, services associated with foot care for diabetes and peripheral vascular disease are covered when Medically Necessary.  Membership costs or fees associated with health clubs, weight loss programs and smoking cessation programs.  Genetic screening or pre-implantations genetic screening. General population-based genetic screening is a testing method performed in the absence of any symptoms or any significant, proven risk factors for genetically linked inheritable disease.  Dental implants for any condition.  Fees associated with the collection or donation of blood or blood products, except for autologous donation in anticipation of scheduled services where in the utilization review Physician's opinion the likelihood of excess blood loss is such that transfusion is an expected adjunct to surgery.  Blood administration for the purpose of general improvement in physical condition.  Cost of biologicals that are immunizations or medications for the purpose of travel, or to protect against occupational hazards and risks.  Cosmetics, dietary supplements and health and beauty aids.  All nutritional supplements and formulae except for infant formula needed for the treatment of inborn errors of metabolism.  For or in connection with an Injury or Sickness arising out of, or in the course of, any employment for wage or profit.  Charges for the delivery of medical and health-related services via telecommunications technologies, including telephone and internet, unless provided as specifically described under Covered Expenses.  Massage therapy.