What Is Not Covered Property of Bind Benefits, Inc., d/b/a Surest. All rights reserved © 2026. 45 Devices, Appliances, Supplies and Prosthetics 34. Birthing tub. 35. Cranial banding except when Medically Necessary for the treatment of plagiocephaly (head asymmetry) and craniosynostosis (abnormal head shape). 36. Devices and computers to assist in communication and speech except as described in Section 5.1 (Covered Health Services) under Durable Medical Equipment (DME) and Supplies. Examples of not covered items include iPads and Android tablets. 37. Devices used specifically as safety items or to affect performance in sports-related activities. 38. Disposable supplies for home use such as, but not limited to Ace-type bandages, antiseptics, bandages, diapers, dressings, incontinence supplies, gauze, and tape. 39. Home testing devices and monitoring equipment except as specifically provided in the Durable Medical Equipment Benefits. 40. Household equipment, household fixtures, and modifications to the structure of the home, escalators or elevators, hot tubs and saunas, ramps, swimming pools, whirlpools, wiring, plumbing, or charges for installation of equipment, exercise cycles, air purifiers, central or unit air conditioners, hypo-allergenic pillows, mattresses, water purifiers, or waterbeds. 41. Oral appliances for snoring. 42. Orthotic appliances and devices that straighten or re-shape a body part. Examples of excluded orthotic appliances and devices include but are not limited to some types of braces, and arch supports, and include orthotic braces available over-the- counter. 43. Over-the-counter medical equipment or supplies such as saturation monitors, prophylactic knee braces, and bath chairs that can be purchased without a prescription even if a prescription has been ordered. 44. Repairs to prosthetic devices due to misuse, malicious damage, or gross neglect. 45. Replacement of prosthetic devices due to misuse, malicious damage, or gross neglect or to replace lost or stolen items. 46. Shoes. This exclusion does not apply to therapeutic, custom-molded shoes when prescribed by a Physician. 47. Shoe orthotics. This exclusion does not apply to therapeutic shoe orthotics when prescribed by a Physician. 48. Supplies, equipment, and similar incidentals for personal comfort. Examples include air conditioners, air purifiers, exercise equipment, humidifiers, Jacuzzis, recliners, saunas, and vehicle modifications such as van lifts. 49. Vehicle/car or van modifications including, but not limited to, car carriers, handbrakes, and hydraulic lifts. Drugs (under the medical plan) 50. Charges for giving injections that can be self-administered.
[Surest] Medical Plan Summary Page 46 Page 48