Charges for the following services, treatments and/or conditions are
excluded from coverage under Patriot Extreme.
- Pre-existing Conditions. 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 during the three years prior to the effective
date of the insurance, including any subsequent, chronic or recurring
complications or consequences related 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 herein.
- Venereal disease, AIDS virus, AIDS related illness, ARC Syndrome, or
AIDS, and 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 unless the activity
is a non-contact scholastic event below the collegiat level. The following
activities are excluded: mountaineering or climbing above
4500 meters or without the proper use of ropes or guides; scuba diving below 50
meters; whitewater rafting above Class V; BASE jumping; luge; motocross or Moto-X;
racing of any kind; rodeo; ski jumping; and and Extreme Sports not listed as covered or approved in writing by IMG.
- 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.
- Willfull self-inflicted injury or illness, and injury due to reckless
endangerment or needless peril.
- 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.
- Illness or injury where the trip to the host country is undertaken for
treatment or advice for such Illness or injury, except as provided for
herein.
- Treatment incurred as a result of or arising from exposure to nuclear
radiation, and/or radioactive material(s).
This information is only a consolidated and summary description of all
current Patriot Extreme benefits, conditions, limitations
and exclusions. A certificate containing the complete Policy Wording with
all terms, conditions and exclusions will be included with the fulfillment
kit.
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