What Is Not Covered Property of Bind Benefits, Inc., d/b/a Surest. All rights reserved © 2026. 51 Travel 100. Health services provided in a foreign country, unless required as Emergency Health Care Services. 101. Travel or transportation expenses, even if ordered by a Physician, except as identified under Complex Medical Conditions Travel and Lodging Assistance Program for the Covered Health Services described in Travel and Lodging in Section 5.1 (Covered Health Services) and Section 5.3 (Clinical Programs and Resources). Additional travel expenses related to Covered Health Services received from a Designated Provider or other Network Provider may be reimbursed at the Plan’s discretion. This exclusion does not apply to ambulance transportation for which Benefits are provided as described under Ambulance Services in Section 5.1 (Covered Health Services). Types of Care 102. Custodial Care. 103. Domiciliary Care. 104. Multi-disciplinary pain management programs provided on an inpatient basis for acute pain or for exacerbation of chronic pain. 105. Respite care, except as defined under Hospice Care in Section 5.1 (Covered Health Services). 106. Rest cures. 107. Services of personal care attendants. 108. Work hardening (individualized treatment programs designed to return a person to work or to prepare a person for specific work). Vision, Hearing and Voice 109. Eye exercise or vision therapy. 110. Implantable lenses used only to correct a refractive error such as radial keratotomy or related procedure, and artificial retinal devices or retinal implants. 111. Refractive surgery (e.g., Lasik) for ophthalmic conditions that are correctable by contact lenses or glasses. 112. Routine eye exams (including refractions), eyeglasses, contact lenses and any fittings associated with them, except as identified in Section 5.1 (Covered Health Services). 113. Surgery and other related treatment that is intended to correct farsightedness, nearsightedness, presbyopia, and astigmatism, including but not limited to, procedures such as laser and other refractive eye surgery and radial keratotomy. 114. Hearing aids and related supplies. 115. Bone-anchored hearing aids except when either of the following applies: a) For Participants with craniofacial anomalies whose abnormal or absent ear canals preclude the use of a wearable hearing aid.

[Surest] Medical Plan Summary - Page 53 [Surest] Medical Plan Summary Page 52 Page 54