New York International Group

 

Pre–Existing Conditions and Exclusions

Pre–Existing Conditions

After coverage has been in effect for 24 continuous months, Global Medical Insurancesm provides a US$50,000 lifetime benefit with a maximum of US$5,000 per policy period for pre–existing conditions that existed at or prior to the effective date. This benefit is payable whether or not you have received consultation or treatment for the condition(s) during the 24–month period. This is important since few pre–existing conditions remain free from consultation or treatment and often do not qualify for coverage in standard plans. Global Medical Insurancesm does not “rider” or charge additional premium for pre–existing conditions. If you disclose a pre–existing condition at the time of application, and we accept you into the plan, you will be covered for eligible medical expenses, after 24 months.

The following illnesses which exist, manifest themselves or are treated or have treatment recommended prior to or during the first 180 days of coverage from the initial effective date are considered pre–existing conditions: tonsillectomy, adenoidectomy, hemorrhoids or hemorrhoidectomy, disorders of the reproductive system, hysterectomy, hernia, gall stones or kidney stones, any condition of the breast, any condition of the prostate.

.OTHER EXCLUSIONS AND LIMITATIONS*

  • Routine physical examinations first 24 months
  • Maternity and newborn first 12 months
  • Mental and nervous first 12 months
  • Dental treatment unless accident related
  • Organized amateur or professional sports
  • Treatment not ordered or received by a physician
  • Treatment or supplies not medically necessary
  • Investigational, experimental or research procedures
  • Custodial care
  • Weight modification
  • Elective cosmetic or plastic surgery
  • Treatment of impotency
  • Contraceptive medication or treatment
  • Drug and alcohol abuse treatment
  • Organ transplants not specifically listed
  • Devices to correct sight or hearing
  • Routine foot care
  • Treatment by a relative or family member
  • Treatment as a result of war or riot
  • Treatment resulting from illegal activities
  • Speech or acupuncture therapy
  • Persons HIV+ at effective date
  • Services and treatment eligible for payment by any government or other insurance
*See policy wording for complete list of exclusions and limitations.

 

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NYIG – An affiliate of IMG
The Empire State Building
350 Fifth Avenue Suite 3304, New York, NY 10118


Tel: 212.268-8520 – 800.804.5763– Fax: 212.268-8524 – E-mail: info@nyig.com

 

 

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