After coverage has been in effect for 24 continuous months, Global Mission
Medical Insurance provides a US$50,000 lifetime benefit for eligible
pre-existing conditions that existed at or prior to the effective date, subject
to a maximum of US$5,000 per period of coverage. 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 ongoing consultation or treatment, and often do not qualify for
coverage in standard plans. Global Mission Medical Insurance does not "rider"
or charge additional premium for pre-existing conditions. If you properly
disclose a preexisting condition at the time of application, and are accepted
into the plan, you will be covered for eligible medical expenses after 24
months of continuous coverage, subject to the foregoing limits and the other
terms of the plan.*
The following illnesses which exist, manifest themselves or are treated or have
treatment recommended prior to or during the first 180 days of coverage from the
initial effective date are considered pre-existing conditions under the plan,
and are subject to the waiting period and other limitations of coverage
described above: tonsillectomy, disc disease, adenoidectomy, hemorrhoids or
hemorrhoidectomy, disorders of the reproductive system, hysterectomy, hernia,
gall stones or kidney stones, any condition of the breast, and any condition of
the prostate.
OTHER EXCLUSIONS & LIMITATIONS*
Routine physical examinations-first 12 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 therapy
Persons HIV+ at effective date
Services and treatment eligible for payment by any government or
other insurance
* See certificate wording for a definition of pre-existing conditions and a complete list
of exclusions and limitations, and for all other specific terms and conditions of the
plan. Certificate wording is available upon request.