 | Personal comfort items (radios,
telephones, televisions, etc. |
| Routine checkups |
| Glasses and eye examinations |
| Custodial care unless part of hospice
care |
| Hearing aids or hearing examinations |
| The first 3 pints of blood |
| Items or services not medically necessary |
| Most immunizations (pneumococcal and
hepatitis B are covered) |
| Orthopedic shoes |
| Cosmetic surgery |
| Most dental work |
| Charges by family members |
| Routine foot care |
| Items or services covered by Workers
Compensation |
| Private duty nurses |
| Homemaker services, except as hospice
care |
| Treatment outside the U.S, Puerto Rico,
Virgin Islands, Guam, American Samoa, and the Northern Marian
Islands |
