What Is Excluded?
The policy does not cover loss nor provide benefits for:
- Expenses resulting from any declared or undeclared war;
- Suicide, attempted suicide, or intentionally self-inflicted injury;
- Expenses while in the armed forces of any country;
- Expenses covered by any workers' compensation or occupational disease law;
- The patient being under the influence of alcohol or drugs unless taken on a physician's advice;
- Treatment provided in a governmental hospital unless the patient is legally obligated to pay such charges;
- Experimental or investigative service, supply, or treatment;
- Sickness or disease, mental incapacity or bodily infirmity, except as provided for herein;
- Infections of any kind, except as provided for herein;
- Treatment for mental disorders;
- Medical expenses that are a result of a patient's dissatisfaction with the cosmetic results of a surgical procedure, or additional surgery to improve the appearance of the affected area;
- Treatment that is normally managed on an outpatient basis by a plastic surgeon such as, but not limited to, minor infections, tissue sloughing, and hematoma;
- Charges related to transportation, except where specifically covered in the policy;
- Charges for items or services of convenience, including but not limited to: admission kits, telephones, slippers, or homemaker services; supportive service focusing on activities of daily life such as bathing, dressing, feeding, or skin and/or bladder care; administration of oral medication or eye drops, except as specifically covered in the policy; or
- Any services, supplies, or treatment furnished by the patient or a patient's immediate family.