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