PATRIOT
TRAVEL MEDICAL INSURANCESM
Charges for the following
services, treatments and/or conditions are excluded from coverage under
the Patriot plans.
1. Preexisting Conditions. A preexisting condition is defined as any injury,
illness, sickness, disease, or other physical, medical, mental or nervous
condition, disorder or ailment that existed at the time of application
or at any time during the five years prior to the effective date of the
insurance, including any subsequent, chronic or recurring complications
or consequences related thereto or arising therefrom.
2. Treatment or surgeries which are elective, investigational, experimental
or for research purposes.
3. War, political insurrection, protest, or any act thereof.
4. Immunizations and routine physical exams.
5. Treatment of Temporomandibular Joint or dental treatment, except as
provided for herein.
6. Venereal disease, AIDS virus, AIDS related illness, ARC Syndrome, or
AIDS, and the cost of testing for these conditions, and charges for
treatment or surgeries which are incurred by any Insured who was HIV+
at time of enrollment into this insurance.
7. Pregnancy, childbirth, birth control, artificial insemination, treatment
for infertility or impotency, sterilization or reversal thereof, or abortion.
8. Injury sustained while participating in amateur or professional sports
or other athletic activity which is organized and/or sanctioned, or which
involves regular or scheduled practices, games or competition. The following
hazardous activities are excluded, but may be added by the Optional Sports
Rider: Scuba diving, mountain climbing (up to 4500 meters or where ropes
or guides are normally used), jet, snow and water skiing and snowboarding,
skydiving, amateur racing, piloting an aircraft, bungee jumping and spelunking.
9. Vision or ear tests and the provision of visual or hearing aids.
10. Vocational, recreational, speech or music therapy.
11. Treatment while confined primarily to receive custodial care,
educational or rehabilitative care, or nursing services.
12. Charges, injuries and/or illnesses resulting or arising from or occurring
during the commission or continuing perpetration of a violation of law
by the insured, including without limitation, the engaging in an illegal
occupation or act, but excluding minor traffic violations.
13. Treatment for, and injuries and/or illnesses resulting or arising
from, substance abuse or drug addiction.
14. Injury and/or illness resulting or arising from or sustained while
under the influence of or disablement of drugs or alcohol.
15. Willful self-inflicted injury or illness.
16. Treatment required as a result of or arising from complications from
a treatment or condition not covered hereunder.
17. Any services or supplies performed or provided by a relative of the
Insured or provided at no cost to Insured.
18. Treatment for mental and nervous disorders.
19. Organ or tissue transplants or related services.
20. Illness or injury where the trip to the host country is undertaken
for treatment or advice for such Illness or injury, except as provided
for herein.
21. Treatment incurred as a result of or arising from exposure to nuclear
radiation, and/or radioactive material(s).
This information is
only a consolidated and summary description of all current Patriot Travel
Medical InsuranceSM benefits, conditions, limitations and exclusions.
A certificate containing the complete Policy Wording with all terms, conditions
and exclusions will be included with the fulfillment kit.
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