- 100% of inpatient medical expenses up to 1,000,000 Ks.
- 50% of the next 2,000,000 Ks.
- Obstetrics including prenatal, antenatal land postnatal
- Plastic surgery
- Dental care
- Cosmetics
- Optical
- Preexisting conditions
- Preventive medical checkup / health screening
- Any sum in excess of the coverage limits.
- Any expense which the company considers to be unreasonable, unnecessary or excessive.
- Any claim involving fraud, misrepresentation or concealment or their consequences.
- Contraception, sterilisation (or its reversal), fertilisation, vasectomy, venereal disease, sexually transmitted infections, gender reassignment or any other form of sexual related condition.
- Investigations and / or treatment for infertility and any related condition or form of assisted reproduction.
- Chronic or end-stage kidney failure which has or will require regular or long-term dialysis.
- Any treatment to relieve symptoms caused by ageing or any physiological cause.
- Costs for treatment incurred outside the geographical area specified on the Policy Schedule.
- Artificial heart implantation.
- Drugs and other medicines purchased without a Physician’s prescription.
- Routine or preventative medicines, vaccinations and checkups.
- Cosmetic surgery, removal of fat or other surplus body issue and any consequences of such medical treatment, weight loss or weight problems / eating disorders, whether or not for psychological purposes, unless required as a direct result of an accident or surgery for cancer.
- Surgery to correct short or long sight or any other eye defect, unless caused as a result of an accident or illness.
- Accommodation and treatment costs in a nursing home, hydro, spa, nature clinic, health farm or the like or a hospital where the establishing concerned has, effectively, become the Employee’s home or permanent residence and the admission is arranged wholly or partly for domestic reasons.
- Medical treatment for mental or nervous disorders, psychiatric treatment and the costs of a psychotherapist, psychologist, family therapist or bereavement counsellor.
- Any claim in any way caused or contributed to by the use or release or the treat thereof of any nuclear weapon or device or chemical or biological agent.
- Any claims whatsoever resulting from war, invasion, act of foreign enemy, hostilities (whether war be declared or not), act of terrorism, civil war, rebellion, revolution, insurrection, military or usurped power or taking part in civil commotion or riot of any kind. For the purpose of this exclusion, an act of terrorism means an act, including but not limited to the use of force or violence and / or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organisation(s) or government(s), committed for political, religious, ideological or similar purposes or reasons including the intention to influence any government and / or to put the public, or any section of the public, in fear.
- Below 10 years’ service – 6 x last drawn Gross Salary
- Above10 years’ service – Completed service years x last drawn Gross Salary