What Is Not Covered (INF Elite X Policy Exclusions)

INF Elite X What Is Not Covered (INF Elite X Policy Exclusions)

We will not pay benefits for any loss or Injury that is caused by or results from:

Intentionally self-inflicted injury; suicide or attempted suicide.

War or any act of war, whether declared or not.

a Covered Accident or Sickness that occurs while You are on active duty service in the military, naval or air force of any country or international organization. Upon receipt of proof of service, We will refund any premium paid for this time.

Piloting or serving as a crewmember in any aircraft or watercraft

Riding in any aircraft or watercraft except as a fare-paying passenger on a regularly scheduled or charter airline

Commission of, or attempt to commit, a felony.

Sickness, disease or Mental Health Disorder, bacterial or viral infection, or medical or surgical treatment thereof, except for any bacterial infection resulting from an accidental external cut or wound (applicable to accident benefits only).

You being legally intoxicated as determined according to the laws of the jurisdiction in which the Injury occurred.

Commission of, or active participation in a riot, civil commotion assuming the proportions of or amounting to an uprising or an insurrection.

In addition, We will not pay Medical Expense Benefits for any loss, treatment, or services resulting from:

Routine physicals and care of any kind.

Routine dental care and treatment.

Cosmetic surgery, except for reconstructive surgery needed as the result of an Injury resulting from a Covered Accident.

Eye refractions or eye examinations for the purpose of prescribing corrective lenses or for the fitting thereof; eyeglasses, contact lenses, and hearing aids.

Services, supplies, or treatment including any period of Hospital confinement which is not recommended, approved, and certified as Medically Necessary and reasonable by a Doctor, or expenses which are non-medical in nature.

Treatment or service provided by a private duty nurse.

Treatment by any Immediate Family Member or member of Your household.

Expenses incurred during travel for purposes of seeking medical care or treatment,

Medical expenses for which You would not be responsible to pay for in the absence of the Policy.

Expenses incurred for services provided by any government Hospital or agency, or government sponsored-plan for which, and to the extent that, you are eligible for reimbursement.

Any treatment provided under any mandatory government program or facility set up for treatment without cost to any individual.

Custodial care

Calculus of gallbladder and nephroscopy

Services or expenses incurred in your Home Country.

Elective treatment, exams or surgery; elective termination of pregnancy.

Expenses for services, treatment or surgery deemed to be experimental or which are not recognized and generally accepted medical practices in the United States.

Expenses payable by any automobile insurance policy without regard to fault.

Organ or tissue transplants and related services.

Any expense paid or payable by any other valid and collectible group insurance plan.

Injury or Sickness for which benefits are paid or payable under any Workersâ Compensation or Occupational Disease Law or Act, or similar legislation, whether United States federal or foreign law.

Injury sustained while participating in club, intramural, intercollegiate, interscholastic, professional, semi-professional sports or hazardous sports and activities.

Expenses incurred for services related to the diagnostic treatment of infertility or other problems related to the inability to conceive a child, including but not limited to, fertility testing and in-vitro fertilization.

Orthopedic shoes or devices, or expenses incurred in connection with weak, strained or flat feet, corns, calluses or toenails.

Expenses incurred for birth control including surgical procedures and devices.

Birth defects and congenital anomalies, or complications which arise from such conditions.

Sexually transmitted diseases or immune deficiency disorders and related conditions.

Care or treatment of Acquired Immune Deficiency Syndrome (AIDS), AIDS Related Complex (ARC), or Human Immunodeficiency Virus (HIV) infection, or any illness or disease arising from these medical conditions.

Pregnancy, childbirth, miscarriage, abortion or any complications of any of these conditions, except to the extent otherwise provided in the Policy

Mental Health Disorders.

Expenses incurred for any condition directly or indirectly related to or caused by cancer, dialysis, or on-going and preventive care

Expenses incurred for cataract surgeries, eye sickness or treatments

Pre-existing Conditions, unless otherwise provided in the Policy

Any sickness which was known or unknown to the Covered Person which requires immediate medical attention within 5 days after the policy effective date

Exercise programs, whether or not prescribed by a Doctor

Failure to keep a scheduled appointment

Any treatment which is not Medically Necessary, or costs which are in excess of the Usual, Reasonable and Customary amounts.

Epidemic and Pandemic or other disease outbreaks when prior to the effective date, warning or Alert Level 3 or higher was issued by the US Center for Disease, Control and Prevention.

Medical Expenses related to complications or consequences of a treatment or condition not covered by this Policy.

Disclaimer

Plan features listed here are high level, provided for your convenience and information purpose only. Please review the Evidence of Coverage and Plan Contract (Policy) for a detailed description of Coverage Benefits, Limitations and Exclusions. Must read the Policy Brochure and Plan Details for complete and accurate details. Only the Terms and Conditions of Coverage Benefits listed in the policy are binding.

What Is Not Covered (INF Elite X Policy Exclusions)

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