Patriot Executive® Travel Medical Insurance
Insurance
Exclusions
Charges for the following conditions,
services or treatments are excluded:
- Any injury or illness which is not
incurred by an insured Person during the Period of
Coverage.
- Charges for treatment which is not
incurred by an insured person during the Period of Coverage or
Benefit Period.
- Charges for injury or illness incurred
during to Period of coverage which are not presented to the
Company for payment within 3 months from the date of services
rendered.
- Charges for treatment which is not
administered by a physician.
- Charges for treatment which is not
medically necessary.
- Treatment provided at no cost to the
Insured Person.
- Charges exceeding usual, reasonable and
customary.
- Treatment or surgeries which are
investigational, experimental or for research purposes.
- Charges for treatment or surgeries
which are Incurred by the Insured who was HIV+ at time of
enrollment into this insurance.
- Routine Dental Treatment and the
provision of false teeth or dentures: normal eye tests and the
provision of visual aids; normal ear tests and the provision of
hearing aids.
- Elective cosmetic surgery &
associated treatment.
- Any Surgery or Treatment in respect of
an injury or illness diagnosed at the time of inception of
coverage.
- Pregnancy and childbirth
costs.
- Injury sustained while taking part in
mountaineering where ropes or guides are normally used, amateur or
professional athletics, aviation (except when traveling as a
passenger in a commercial aircraft), hang gliding and parachuting,
snow skiing, racing by horse, motor or motorcycle, spelunking and
subaqua pursuits involving underwater breathing
apparatus.
- Injury sustained while under the
influence of or disablement due wholly or partly to the effects
intoxicating liquor or drugs other than drugs taken in accordance
with treatment prescribed and directed by a Physician but not for
the treatment of Substance Abuse or drug addiction.
- Willfully selfinflicted injury or
illness.
- Venereal Disease.
- All costs arising from Medical Expenses
incurred when the Insured Person was traveling against the advice
of a Physician or medical professional.
- Testing for the following: HIV,
seropositivity to the AIDS virus, AIDS related Illnesses, ARC
Syndrome, AIDS.
- AIDS virus, AIDS related illness, ARC
Syndrome, AIDS, and/or any illness arising as complications from
these conditions.
- Illness or injury where the trip to the
host country is undertaken for treatment or advice for such
Illness or injury.
- Immunizations and routine physical
examinations and associated laboratory tests and diagnostic
procedures.
- Treatment in the United
States.
- Treatment for mental and nervous
disorders.
- Treatment by a chiropractor, unless
ordered by a physician.
- Charges resulting from or occurring
during the commission of a violation of law by the insured,
including without limitation, the engaging in an illegal
occupation or act, but excluding minor traffic
violations.
- Treatment for substance abuse or drug
addiction.
- Telephone consultations or failure to
keep a scheduled appointment.
- Treatment while confined primarily to
receive custodial care, educational or rehabilitative care, or
nursing services.
- Any drug , treatment or procedure the
either promotes or prevents conception, or prevents child birth,
including but not limited to: artificial insemination, treatment
for infertility or impotency, sterilization or reversal thereof,
or abortion.
- Treatment of Temporomandibular
Joint.
- Vocational, recreational or music
therapy.
- Organ or tissue transplants or related
services.
- Any services or supplies performed or
provided by a relative of the insured.
- For Speech Therapy.
- Charges resulting from Emergency
Evacuations or Repatriations of bodily remains that were not
coordinated by the Company or its designee.
- Charges for Emergency Reunion expenses
that were not coordinated by the Company or its
designee.
- Treatment required as a result of
complications from a treatment or condition not covered
hereunder.
- Treatment incurred as a result of
exposure to nuclear radiation, and/or radioactive
material(s).
- Treatment incurred as a result of a
Preexisting Condition in excess of U.S. $5000.00.
War; political insurrection, protest; or
any act thereof.
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