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diagnosis is within 90 days from the policy issue date or the most recent reinstatement date of
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this policy, whichever is the latest.
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28.
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Exclusions
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(a) We will not cover and pay the comprehensive CI benefit, advanced stage CI booster and
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special CI conditions benefit if the illness or condition is caused by or arises from any one of
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the following:
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(i) any self-inflicted injury, provoked assault or attempted suicide, whether the life insured is
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sane or insane;
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(ii) the life insured is being under the influence of any narcotic, alcohol, gas or fumes, voluntarily
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taken, administered, absorbed or inhaled or drugs not prescribed by a medical examiner;
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(iii) infection from any Human Immunodeficiency Virus (HIV), Acquired Immunodeficiency
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Syndrome (AIDS) or any AIDS-related condition unless such infection can fully fulfil the
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definition of HIV Due to Blood Transfusion and Occupationally Acquired HIV under item 15
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of Appendix A in this basic benefit contract;
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(iv) donation of any of the life insured’s organs; or
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(v) any pre-existing condition.
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(b) We will not cover and pay the serious illness of the child benefit, if the illness of the child is
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caused directly or indirectly, wholly or partly by any pre-existing condition, before:
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(i) the policy issue date; or
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(ii) the most recent reinstatement date of this policy,
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whichever is the latest, unless the condition or illness had been declared and accepted by us.
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(c) We will not cover and pay the recovery care plus benefit if the illness or condition of the life
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insured is caused by or arises directly or indirectly, wholly or partly from any one of the following:
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(i) any self-inflicted injury, provoked assault or attempted suicide, whether the life insured is
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sane or insane;
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(ii) the life insured is being under the influence of any narcotic, alcohol, gas or fumes,
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voluntarily taken, administered, absorbed or inhaled or drugs not prescribed by a medical
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examiner;
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(iii) infection from any Human Immunodeficiency Virus (HIV), Acquired Immunodeficiency
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Syndrome (AIDS) or any AIDS-related condition unless such infection can fully fulfil the
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definition of HIV Due to Blood Transfusion and Occupationally Acquired HIV under item 15
|
of Appendix A in this basic benefit contract;
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(iv) donation of any of the life insured’s organs;
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Manulife CI FlexiCare (Deluxe) v0123
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Page 10 of 42
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Manulife (Singapore) Pte. Ltd.
|
A Manulife Company
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(v) any pre-existing condition;
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(vi) overseas medical treatment;
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(vii) pregnancy or complications from pregnancy, childbirth, abortion, miscarriage, prenatal or
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postnatal care, birth control, sterilisation and treatment or tests pertaining to fertility;
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(viii) psychological disorders, personality disorders, mental conditions or behavioural disorders,
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including any addiction or dependence arising from these disorders such as gambling or
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gaming addiction;
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(ix) elective cosmetic or plastic surgery for purposes of beautification except constructive surgery
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to treat functional defect due to Injury sustained;
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(x) treatments for obesity, weight reduction or weight improvement;
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(xi) medical or surgical procedures which are experimental in nature or not generally accepted
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as standard medical treatment by the medical profession;
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(xii) sex-change operations;
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(xiii) war or any act related to it, or service in the armed forces or in a civil defence force supporting
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any country at war;
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(xiv) riot, insurrection, civil commotion, strikes, or terrorist activities except as a victim; or
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(xv) injuries arising while engaging in hazardous sports such as speed racing (boat, horse or
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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),
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ballooning, hang gliding, bungee-jumping, and underwater activities involving the use of
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breathing apparatus.
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Manulife CI FlexiCare (Deluxe) v0123
|
Page 11 of 42
|
Manulife (Singapore) Pte. Ltd.
|
A Manulife Company
|
Manulife CI FlexiCare (Deluxe)
|
Appendix A
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Critical Illness Definitions
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Conditions
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1. Alzheimer's
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Disease/Sever
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e Dementia
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2. Persistent
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Vegetative
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State (Apallic
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Syndrome)
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Early Stage
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Diagnosis of Dementia
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including Alzhemier’s
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Disease
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Diagnosis of dementia by
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neurological assessment
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by an appropriate
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specialist confirming
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cognitive impairment
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characterized by a Mini
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Mental State Examination
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score of 24 or less out of
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30 (20 to 24 out of 30) as
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assessed by 2
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neuropsychometric tests
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performed 6 months apart
|
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