Schedule of Benefits | Claim Procedures | Medical Limitation | Frequently Asked Questions

Medical Limitation

The plan does not cover the following:-

1) Self-afflicted injury while sane or insane; treatment of chronic alcoholism, drug addiction, severe allergy or nervous or mental disorders.
2) Injury or illness resulting from civil insurrections or war.
3) Rest cures, sanitaria or custodial care.
4) Cosmetic or plastic surgery unless necessitated by accidental injury
5) General dental care, general health examinations or the supply or fitting of spectacles, hearing aids.
6) Disability originating prior to the effective date of the Insured’s coverage. However, after six months of continuous coverage without medical expenses having been incurred, this limitation ceases to apply.
7) All expenses related to pregnancy (including childbirth, miscarriage or abortion) and complications arising therefrom.
8) The administration of prescription of preventative medicine.
9) Expenses incurred other than those which are necessary for the health of a member.