text stringlengths 0 146 |
|---|
diagnosis is within 90 days from the policy issue date or the most recent reinstatement date of |
this policy, whichever is the latest. |
28. |
Exclusions |
(a) We will not cover and pay the comprehensive CI benefit, advanced stage CI booster and |
special CI conditions benefit if the illness or condition is caused by or arises from any one of |
the following: |
(i) any self-inflicted injury, provoked assault or attempted suicide, whether the life insured is |
sane or insane; |
(ii) the life insured is being under the influence of any narcotic, alcohol, gas or fumes, voluntarily |
taken, administered, absorbed or inhaled or drugs not prescribed by a medical examiner; |
(iii) infection from any Human Immunodeficiency Virus (HIV), Acquired Immunodeficiency |
Syndrome (AIDS) or any AIDS-related condition unless such infection can fully fulfil the |
definition of HIV Due to Blood Transfusion and Occupationally Acquired HIV under item 15 |
of Appendix A in this basic benefit contract; |
(iv) donation of any of the life insured’s organs; or |
(v) any pre-existing condition. |
(b) We will not cover and pay the serious illness of the child benefit, if the illness of the child is |
caused directly or indirectly, wholly or partly by any pre-existing condition, before: |
(i) the policy issue date; or |
(ii) the most recent reinstatement date of this policy, |
whichever is the latest, unless the condition or illness had been declared and accepted by us. |
(c) We will not cover and pay the recovery care plus benefit if the illness or condition of the life |
insured is caused by or arises directly or indirectly, wholly or partly from any one of the following: |
(i) any self-inflicted injury, provoked assault or attempted suicide, whether the life insured is |
sane or insane; |
(ii) the life insured is being under the influence of any narcotic, alcohol, gas or fumes, |
voluntarily taken, administered, absorbed or inhaled or drugs not prescribed by a medical |
examiner; |
(iii) infection from any Human Immunodeficiency Virus (HIV), Acquired Immunodeficiency |
Syndrome (AIDS) or any AIDS-related condition unless such infection can fully fulfil the |
definition of HIV Due to Blood Transfusion and Occupationally Acquired HIV under item 15 |
of Appendix A in this basic benefit contract; |
(iv) donation of any of the life insured’s organs; |
Manulife CI FlexiCare (Deluxe) v0123 |
Page 10 of 42 |
Manulife (Singapore) Pte. Ltd. |
A Manulife Company |
(v) any pre-existing condition; |
(vi) overseas medical treatment; |
(vii) pregnancy or complications from pregnancy, childbirth, abortion, miscarriage, prenatal or |
postnatal care, birth control, sterilisation and treatment or tests pertaining to fertility; |
(viii) psychological disorders, personality disorders, mental conditions or behavioural disorders, |
including any addiction or dependence arising from these disorders such as gambling or |
gaming addiction; |
(ix) elective cosmetic or plastic surgery for purposes of beautification except constructive surgery |
to treat functional defect due to Injury sustained; |
(x) treatments for obesity, weight reduction or weight improvement; |
(xi) medical or surgical procedures which are experimental in nature or not generally accepted |
as standard medical treatment by the medical profession; |
(xii) sex-change operations; |
(xiii) war or any act related to it, or service in the armed forces or in a civil defence force supporting |
any country at war; |
(xiv) riot, insurrection, civil commotion, strikes, or terrorist activities except as a victim; or |
(xv) injuries arising while engaging in hazardous sports such as speed racing (boat, horse or |
automobile), mountaineering or rock climbing necessitating the use of guides or ropes, skiing |
or any kind including jet-ski, skating sport, parachuting (unless trying to save human life), |
ballooning, hang gliding, bungee-jumping, and underwater activities involving the use of |
breathing apparatus. |
Manulife CI FlexiCare (Deluxe) v0123 |
Page 11 of 42 |
Manulife (Singapore) Pte. Ltd. |
A Manulife Company |
Manulife CI FlexiCare (Deluxe) |
Appendix A |
Critical Illness Definitions |
Conditions |
1. Alzheimer's |
Disease/Sever |
e Dementia |
2. Persistent |
Vegetative |
State (Apallic |
Syndrome) |
Early Stage |
Diagnosis of Dementia |
including Alzhemier’s |
Disease |
Diagnosis of dementia by |
neurological assessment |
by an appropriate |
specialist confirming |
cognitive impairment |
characterized by a Mini |
Mental State Examination |
score of 24 or less out of |
30 (20 to 24 out of 30) as |
assessed by 2 |
neuropsychometric tests |
performed 6 months apart |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.