Medical Advancements Provision
If the medical diagnostic techniques and investigations used in our medical Key terms have been superseded due to medical advancements, we will consider other appropriate and medically recognised methods or tests that conclusively diagnose the condition to at least the same severity. The following requirements must be met for a claim to be considered: The new diagnostic techniques and investigations are not experimental and are medically necessary and medically equivalent or superior to the original diagnostic technique or investigation.
Any new diagnostic techniques and investigations must be deemed medically acceptable based on medical standards and medically recognised in Australia or New Zealand by specialist medical practitioners.
Category
Conditions
3 month stand down
Any malignant tumour
✓
Any prostate cancer
✓
Any malignant melanoma
✓
Any carcinoma in situ
✓
Urinary bladder cancer
✓
Non-Hodgkin’s Lymphoma
✓
Hodgkin’s Lymphoma
✓
Any leukaemia
✓
Cancer
Any malignant brain tumour
Any benign brain or spinal cord tumour
✓
Any myeloma
Aplastic anaemia
✓
Any bone marrow or stem cell transplant
Transplant waiting list for bone marrow transplant
✓
Myelodysplastic syndrome
✓
CIN-3, VIN-3, PIN-3
Any heart attack
✓
Heart and arteries
Out of hospital cardiac arrest
Coronary artery bypass graft
✓
Angioplasty
✓
Aortic surgery
✓
Heart valve surgery
✓
1156 ALB-PC version 7 Effective 12 May 2026
Page 2 of 31
Powered by FlippingBook