All insurance policies contain exclusions and these will vary from insurer to insurer. It is therefore important to check with the insurance representative to ensure there are no misunderstandings regarding cover.
The most important exclusions however are pre-existing chronic conditions which the client has suffered or had treatment for prior to taking out the policy.
Below is a list of treatments which most commonly appear in the exclusion section in the policy conditions and clients will not be covered for unless previously agreed by the insurance company.
Conditions developed due to misuse of drugs or alcohol
Experimental or unproven Care
Fertility treatment or testing
Plastic and cosmetic surgery
Treatment of psychological conditions
Termination of pregnancy unless medically prescribed
AIDS or HIV related diseases.
Contraception, including sterilization
Epidemics that are under the direction of the authorities
Obesity treatments
Sexual dysfunction
Injuries inflicted whilst committing a terrorist act
In many cases we can provide options with plans that will
allow you to receive complimentary treatments with alternative, or traditional,
medicine practitioners. Typically available as part of an out-patient benefit, Complementary
treatment refers to therapeutic and diagnostic treatments which exist outside
the institutions where conventional medicine is practiced. Coverage may include
protection for chiropractic treatment, osteopathy, homeopathy, traditional
Chinese medicine, and acupuncture as practiced by approved therapists.