| Exceeding the maximum limit indicated | Pre- and post-operative medications |
| Deliberate self-harm (suicide attempt) | Riots and fights, whether the member participated in them or not |
| Prosthetic devices | Elective surgeries for non-medical necessity |
| Infertility treatment and laboratory tests for infertility | Contraceptives, their complications, installation and extraction |
| Circumcision operations | Non-medical costs such as utilities, telephone, cafeteria |
| Treatment of incurable skin diseases resulting from genetic diseases | Vitamins and minerals except in cases of diabetes, pregnancy and anemia |
| Gastric sleeve surgery (bariatric surgery) | Dental implants, prostheses and orthodontics |
| Cosmetic surgeries except in cases of medical necessity such as deformity resulting from surgery | Eyeglasses and vision correction |