J. Defined terms
DEFINED TERM
DEFINITION
ACC
The Accident Compensation Corporation of New Zealand (or any organisation or agency executing or administering ACC law).
AIA
Means AIA New Zealand Limited, also referred to in this policy as ‘we’, ‘our’ or ‘us’.
A set of criteria AIA uses to consider and approve chemotherapy or radiotherapy treatments under the Cancer Treatment benefit in order to ensure the treatment falls within reasonable charges . The criteria is determined by reference to: Whether the medicine is recommended for public funding by the Pharmaceutical Therapeutics Advisory Committee (or its successor); The medical advice of the treating oncologists; International evidence of clinical effectiveness; Other factors that AIA reasonably assesses as relevant.
AIA criteria
AIA Vitality
Means AIA Vitality, a health and wellbeing programme offered by AIA.
ancillary hospital charges
Anaesthetic supplies, dressings, pathology tests, ECG, intravenous fluids and irrigating solutions, post-operative physiotherapy, medication prescribed and taken while in hospital (except for drugs that are not subsidised by Pharmac).
approved facility
Any one of the following:
A privately owned hospital; or
A public hospital which allows privately funded treatment to be carried out; or A private medical or diagnostic facility, where minor surgery, treatments, consultations or diagnostic procedures are carried out; or Otherwise a medical facility approved by AIA .
The anniversary of the risk commencement date of this policy.
anniversary date
cancer
Disease caused by the uncontrolled growth of abnormal cells which is histologically diagnosed and characterised by a specialist as cancer.
Pre-cancerous conditions, such as cervical, vaginal or prostatic intraepithelial neoplasia (dysplasia) of any grade, are not considered cancer for the purposes of this policy.
child/children
Any biological child/children, adopted child/children or child/children under the legal guardianship of: the policy owner(s); or the spouse or de facto partner of the policy owner (if that person is a life assured ).
claim event
The treatment, procedure, specialist consultation or diagnostic tests that you are claiming for under your AIA Cancer Care policy.
continuous cover
A continuous period of cover from the risk commencement date during which the premium is paid for the life assured .
dental practitioner
A recognised health professional, who is registered with the Dental Council of New Zealand (or its successor).
general practitioner
A recognised health professional, who holds a current annual practising certificate and is a member of the Medical Council of New Zealand (or its successor).
1304 ACC – UMB version 4 Effective 08 March 2024
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