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You are here: Skip Navigation LinksHome > Insurance > Products > Product Gallery > MediGuard Junior
MEDIGUARD JUNIOR
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POLICY DETAILS
Product Details
Description of Benefits
Exclusions
Special Provision & Conditions
mediGUARD Junior


EXCLUSIONS back to top
 
This policy shall not cover:-
 
1.
Pre-existing illness.
2.
Specified Illnesses occurring during the first 120 days of continuous cover.
3.
Any medical or physical conditions arising within the first 30 days of the Insured Person's cover or date reinstatement whichever is latest except for accidental injuries.
4.
Plastic/Cosmetic surgery, circumcision, eye examination, glasses and refraction or surgical correction of nearsightedness (Radial Keratotomy or Lasik) and the use or acquisition of external prosthetic appliances or devices such as artificial limbs, hearing aids, implanted pacemakers and prescriptions thereof.
5.
Dental conditions including dental treatment or oral surgery except as necessitated by Accidental Injuries to sound natural teeth occurring wholly during the Period of Insurance.
6.
Private nursing, rest cures or sanitaria care, illegal drugs, intoxication, sterilization, venereal disease and its sequelae, AIDS (Acquired Immune Deficiency Syndrome) or ARC (AIDS Related Complex) and HIV related diseases, and any communicable diseases required quarantine by law.
7.
Any treatment or surgical operation for congenital abnormalities or deformities including hereditary conditions.
8.
Pregnancy, child birth (including surgical delivery), miscarriage, abortion and prenatal or postnatal care and surgical, mechanical or chemical contraceptive methods of birth control or treatment pertaining to infertility. Erectile dysfunction and tests or treatment related to impotence or sterilization.
9.
Hospitalization primarily for investigatory purposes, diagnosis, x-ray examination, general physical or medical examinations, not incidental to treatment or diagnosis of a covered Disability or any treatment which is not Medically Necessary and any preventive treatments, preventive medicines or examinations carried out by a Physician, and treatments specifically for weight reduction or gain.
10.
Suicide, attempted suicide or intentionally self-inflicted injury while sane or insane.
11.
War or any act of war, declared or undeclared, criminal or terrorist activities, active duty in any armed forces, direct participation in strikes, riots and civil commotion or insurrection.
12.
Ionizing radiation or contamination by radioactivity from any nuclear fuel or nuclear waste from process of nuclear fission or from any nuclear weapons material.
13.
Expenses incurred for donation of any body organ by an Insured Person and costs of acquisition of the organ including all costs incurred by the donor during organ transplant and its complications.
14.
Investigation and treatment of sleep and snoring disorders, hormone replacement therapy and alternative therapy such as treatment, medical service or supplies, including but not limited to chiropractic services, acupuncture, acupressure, reflexology, bonesetting, herbalist treatment, massage or aroma therapy or other alternative treatment.
15.
Care or treatment for which payment is not required or to the extent which is payable by any other insurance or indemnity covering the Insured Person and Disabilities arising out of duties of employment or profession that is covered under a Workman's Compensation Insurance Contract.
16.
Psychotic, mental or nervous disorders, (including any neuroses and their physiological or psychosomatic manifestations).
17.
Costs/expenses of services of a non-medical nature, such as television, telephones, telex services, radios or similar facilities, admission kit/pack and other ineligible non-medical items.
18.
Sickness or Injury arising from racing of any kind (except foot racing), hazardous sports such as but not limited to skydiving, water skiing, underwater activities requiring breathing apparatus, winter sports, professional sports and illegal activities.
19.
Private flying other than as a fare-paying passenger in any commercial scheduled airlines licensed to carry passengers over established routes.
20. Expenses incurred for sex changes.
 
"Pre-Existing Illness" shall mean:
 
Disabilities that the Insured Person has reasonable knowledge of. An Insured Person may be considered to have reasonable knowledge of a pre-existing condition where the condition is one for which:
 
(a) the Insured Person had received or is receiving treatment;
(b)
medical advice, diagnosis, care or treatment has been recommended;
(c)
clear and distinct symptoms are or were evident; or
(d)
its existence would have been apparent to a reasonable person in the circumstances.
 
"Specified Illnesses" shall mean:
 
The following disabilities and its related complications, occurring within the first 120 days of Insurance of the Insured Person:
 
(a)
Hypertension, diabetes mellitus and cardiovascular disease
(b)
All tumours, cancers, cysts, nodules, polyps, stones of the urinary system and biliary system
(c)
All ear, nose (including sinuses) and throat conditions
(d)
Hernias, haemorrhoids, fistulae, hydrocele, varicocele
(e)
Endometriosis including disease of the reproduction system
(f)
Vertebro-spinal disorders (including disc) and knee conditions




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