Charges for the following services, treatments and/or conditions, among others, are
excluded from coverage under the Patriot Executive plan.
- Treatment for pre-existing conditions in excess of US$5000, per Insured
Person, per Period of Coverage (not per trip). A pre-existing 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 prior thereto, including any subsequent, chronic or
recurring complications or consequences relating thereto or arising therefrom,
whether or not previously manifested or known, diagnosed, treated, or disclosed.
- Treatment or surgeries which are elective, investigational, experimental or
for research purposes.
- War, military action, terrorism, political insurrection, protest, or any act
thereof.
- Immunizations and routine physical exams.
- Treatment of Temporomandibular Joint or dental treatment, except as
provided for in the Certificate of Coverage.
- Venereal disease, AIDS virus, AIDS related illness, ARC Syndrome, or
AIDS, 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.
- Pregnancy, childbirth, birth control, artificial insemination, treatment for
infertility or impotency, sterilization or reversal thereof, or abortion.
- 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: 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.
- Vision or ear tests and the provision of visual or hearing aids.
- Vocational, recreational, speech or music therapy.
- Treatment while confined primarily to receive custodial care, educational
or rehabilitative care, or nursing services.
- 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.
- Treatment for, and injuries and/or illnesses resulting or arising from,
substance abuse or drug addiction.
- Injury and/or illness resulting or arising from or sustained while under the
influence of or disablement of drugs or alcohol.
- Willful self-inflicted injury or illness.
- Treatment required as a result of or arising from complications from a
treatment or condition not covered hereunder.
- Any services or supplies performed or provided by a relative of the
Insured or provided at no cost to Insured.
- Treatment for mental and nervous disorders.
- Organ or tissue transplants or related services.
- Treatment for Illness or Injury where the trip is undertaken for the purpose
of obtaining such treatment or advice for a pre-existing condition.
- Treatment incurred as a result of or arising from exposure to nuclear
radiation, and/or radioactive material(s).
This web page contains only a consolidated and summary description of all current
Patriot Executive benefits, conditions, limitations and exclusions, and is subject
to all of the terms and conditions of the full Policy Wording. A certificate containing
the complete Policy Wording with all terms, conditions and exclusions will
be included with the fulfillment kit. The Company reserves the right to issue the
most current Policy Wording for this insurance plan in the event this application
and/or brochure has expired, is modified, or is replaced with a newer version.
Current Policy Wordings are available upon request.