Pre-Existing Conditions & Exclusions

GLOBAL MEDICAL INSURANCEsm
Pre-Existing Conditions and Exclusion
PRE-EXISTING CONDITIONS

After coverage has been in effect for 24 continuous months, Global Medical Insurancesm provides a US$25,000 benefit 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. Unlike other 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.

OTHER EXCLUSIONS AND LIMITATIONS*

The following illnesses which manifest themselves or are treated or have treatment recommended during the first 180 days of coverage beginning on the initial effective date are excluded: 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.

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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