Visitor Medical Insurance > MultiNational Underwriters > Plan Exclusions
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Exclusions & Limitations
EXCLUSIONS
Pre-existing Conditions
This plan does not provide any coverage for Pre-existing Conditions. A Pre-existing Condition is a condition that meets any of these descriptions:
- that would have caused a person to seek medical advice, diagnosis, care or Treatment within the 6 months (or 12
months for persons age 70 and older) prior to your Effective Date
- for which medical advice, diagnosis, care or Treatment, including medication, was sought, recommended or
received within the 6 months (or 12 months for persons age 70 and older) prior to your Effective Date
- the symptoms which occurred within the 6 months (or 12 months for persons age 70 and older) prior to your
Effective Date would have allowed a person trained in medicine to make a diagnosis of the condition producing
the symptoms
- which manifested within the 6 months (or 12 months for persons age 70 and older) prior to your Effective Date
Other exclusions include:
- Charges related to Pregnancy, childbirth, care of newborns, congenital conditions, birth control, artificial
insemination, infertility, impotency or sexual dysfunction, sterilization or reversal thereof
- Charges that are not incurred during the Certificate Period or which exceed Usual, Reasonable and Customary
- Services that are not Medically Necessary, not administered or ordered by a Physician, or are provided at no cost
to you or by your Relative or a person who resides with you
- Venereal disease, and treatment of individuals who are HIV+ or who have AIDS or ARC
- Services related to vision correction, hearing correction, or hair loss
- All cosmetic surgeries, unless reconstructive surgery is directly relating to a covered Illness or Injury
- Speech, acupuncture or sleep therapy and treatment by a chiropractor
- Self-inflicted Injury or Illness
- Dental Treatment, except for Emergency Treatment following a covered Accident
- Charges for travel or accommodations, except as specifically provided by the plan
- Organ and tissue transplants
- Treatment of the temporomandibular joint
- Charges resulting from or occurring during the commission of a violation of law by the Member
- Injury sustained while under the influence of or due wholly or partly to the effects of intoxicating liquor or drugs
- Home nursing care and charges Incurred while confined primarily to receive Custodial, Educational or
Rehabilitative Care
- Surgeries, treatments, services or supplies which are Investigational, Experimental or for Research Purposes
- Immunizations and Routine Physical Exams
- Foot care, unless related to a covered accidental Injury
- Diseases of the skin
- Injury sustained while taking part in contact sports, non-recreational athletics, and thrill-seeking activities
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