What Is Not Covered Property of Bind Benefits, Inc., d/b/a Surest. All rights reserved © 2026. 49 reconstruction when performed subsequent to a mastectomy, including surgery on either breast to achieve or restore symmetry. 80. Replacement of an existing intact breast implant if the earlier breast implant was performed as a Cosmetic procedure. 81. Treatment of benign gynecomastia (abnormal breast enlargement in males). 82. Weight loss programs, whether or not they are under medical supervision or for medical reasons, even if for morbid obesity, except as described in Section 5.3 (Clinical Programs and Resources). Procedures and Treatments 83. Bariatric surgery. 84. Chelation therapy, except to treat heavy metal toxicity and overload conditions. 85. Helicobacter pylori (H. pylori) serologic testing. 86. Medical and surgical treatment of snoring, except when provided as a part of treatment for documented obstructive sleep apnea. 87. Outpatient cognitive rehabilitation therapy except as Medically Necessary following traumatic brain injury or cerebral vascular accident. 88. Physiological modalities and procedures that result in similar or redundant therapeutic effects when performed on the same body region during the same visit or office encounter. 89. Rehabilitation services and manipulative treatment to improve general physical condition and not therapeutic in nature that are provided to reduce potential risk factors, where significant therapeutic improvement is not expected, including routine, long-term, or maintenance/preventive treatment. 90. Rehabilitation services for speech therapy, except as required for treatment of a speech impediment or speech dysfunction that results from injury, stroke, cancer, congenital anomaly, or Autism Spectrum Disorder. 91. Stand-alone multi-disciplinary smoking cessation programs. These are programs that usually include health care Providers specializing in smoking cessation and may include a psychologist, social worker, or other licensed or certified professional. The programs usually include behavior modification techniques, intensive psychological support, and medications to control cravings. Providers 92. Services ordered or delivered by a Christian Science practitioner. 93. Services performed by a Provider who is a family member by birth or marriage, including your spouse, domestic partner, brother, sister, parent, or child. This includes any service the Provider may perform on himself or herself. 94. Services performed by a Provider with your same legal residence. 95. Services performed by an unlicensed Provider or a Provider who is operating outside of the scope of his/her license.