This is not an all-inclusive list. Contact ValueOptions at 1-800-700-8646 for additional information.
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Aversion treatment (except Antabuse is covered)
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Biofeedback (is covered for some medical conditions)
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Counseling not medically necessary in the treatment of a diagnosed medical condition–stress management, job counseling, lifestyle changes
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Court ordered treatment that is not medically or psychologically necessary (if it is also medically necessary, court ordered treatment is a benefit)
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Domiciliary care or custodial care
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Experimental or unproven procedures
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Inappropriate level of care- Services conducted in a setting that could have been completed just as safely and appropriately in a less restrictive setting
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Individual outpatient therapy for chemical dependency
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Inpatient care for the purpose of rest or respite
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Inpatient stays primarily to control a runaway child
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Services associated with an inpatient stay that were not authorized (or services provided on days in which inpatient care was in denial)
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Treatment for specific learning disorders
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Light therapy for Seasonal Affective Disorder
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Methadone maintenance for opiate dependence
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Non-authorized TRICARE provider- any services provided by a non-authorized TRICARE provider
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Psychoanalysis or psychotherapy for educational purposes
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Psychological testing in the following situations: assessment for academic placement; testing related to educational programs, issues, or deficiencies and testing related to learning disorders; child custody or job placement; testing for general screening for the presence of a mental disorder and teacher/parental referrals for testing.
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Psychotherapy for weight reduction or obesity
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Psychotherapy related to transsexualism, gender dysphoria, paraphilias, sexual dysfunction or sexual inadequacy
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Sensory integration
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Smoking cessation programs
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Speech therapy other than for a physical illness/defect, and is not available through a public institution such as the school system.
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V-code diagnoses for Mental Health
