Non-Covered Service

Servicio no cubierto

Also: Servicio excluido (regional variant)

In 9 languages

LanguageTerm
EnglishNon-Covered Service
Spanish (Español) Servicio no cubierto
Chinese (中文) 非保障服務
Korean (한국어) 비보장 서비스
Vietnamese (Tiếng Việt) Dịch vụ không được bảo hiểm
Filipino (Tagalog) Hindi saklaw na serbisyo
Portuguese (Português) Serviço não coberto
Thai (ภาษาไทย) บริการที่ไม่ครอบคลุม
Japanese (日本語) 非保障対象サービス

What it means

A non-covered service is a medical service, treatment, or supply that your health insurance plan will not pay for. It may be excluded from your plan because it is not deemed medically necessary, it is considered cosmetic, it is experimental or investigational, or your plan specifically excludes it. Common examples include cosmetic surgery, routine eye exams under some plans, adult dental care, and certain weight-loss procedures. If you receive a non-covered service, you are generally responsible for the full cost. Your plan's Evidence of Coverage document lists exclusions. Always check whether a service is covered before receiving it to avoid large unexpected bills.

How to say it

Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:

Why is this service listed as non-covered on my Explanation of Benefits?

¿Por qué este servicio aparece como no cubierto en mi Explicación de Beneficios?

Is there an exception process to get coverage for a non-covered service if my doctor says it is necessary?

¿Existe un proceso de excepción para obtener cobertura de un servicio no cubierto si mi médico dice que es necesario?

Can you send me the list of excluded services under my plan?

¿Pueden enviarme la lista de servicios excluidos bajo mi plan?

Where you'll see it

EOBbilldenial letterplan exclusions document

Related terms

Sources

US Glossary Español A–Z US Codes United States

Last reviewed: September 2026