| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 40.00% |
| Acupuncture | Not covered |
| Allergy Testing | 40.00% |
| Bariatric Surgery | $850.00 |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | 40.00% |
| Chemotherapy | $750.00 |
| Chiropractic Care | 40.00% |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | $2,500.00 |
| Dental Check-Up for Children | No charge |
| Diabetes Education | 40.00% |
| Dialysis | $500.00 |
| Durable Medical Equipment | 40.00% |
| Emergency Transportation/Ambulance | $1,500.00 |
| Eye Glasses for Children | 40.00% |
| Habilitation Services | $100.00 |
| Hearing Aids | Not covered |
| Home Health Care Services | 40.00% |
| Hospice Services | 40.00% |
| Imaging (CT/PET Scans, MRIs) | $300.00 |
| Infertility Treatment | 40.00% |
| Infusion Therapy | $150.00 |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $20.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | 40.00% |
| Nutritional Counseling | 40.00% |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | 40.00% |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $850.00 |
| Outpatient Rehabilitation Services | $100.00 |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 40.00% |
| Radiation | $200.00 |
| Reconstructive Surgery | $850.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $100.00 |
| Rehabilitative Speech Therapy | $100.00 |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | Not covered |
| Sex-Trait Modification Procedures | $850.00 |
| Skilled Nursing Facility | $2500.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $2500.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $40.00 |
| Transplant | $2,500.00 |
| Treatment for Temporomandibular Joint Disorders | 40.00% |
| Weight Loss Programs | 40.00% |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $65.00 |