Sovereign Private Health Policy Wording

I. Exclusions – what you are not covered for

1. There is no cover under any of the benefits for costs that exceed the reasonable charges for the applicable treatment, procedure, consultation, test, diagnostic imaging, support or care.

2. There is no cover under any of the benefits for costs arising from, or related in any way to, any of the exclusions listed below.

3. There is no cover under the Waiver of Premium on Death, Bereavement Grant, Public Hospital Credit, Public Hospital Cash Grant or Medical Misadventure benefits arising from, or related in any way to, any of the exclusions listed below.

EXCLUSION NAME

EXCLUSION WORDING

Accommodation, Flights and/or Transport costs

Any accommodation, flight and/or transport, except where expressly covered by a benefit in this policy.

Acute care

Care provided for a sign, symptom, condition or disease that requires immediate or same day hospital admission for treatment or monitoring.

Additional surgery

Any additional surgery performed during an operation, which is not directly related to the medical condition or treatment for which cover is claimed under the terms of this policy.

Allied health

Any treatment by a physiotherapist, chiropractor, osteopath, naturopath, homeopath, acupuncturist, podiatrist, dietitian, counsellor or speech therapist except where expressly covered by a benefit in this policy.

Bariatric surgery

Bariatric surgery for any condition including but not limited to obesity, diabetes and sleep apnoea, except where expressly covered by a benefit in this policy.

Breast reduction surgery and gynaecomastia

Breast reduction surgery (except where expressly covered under a benefit in this policy) and gynaecomastia.

Chronic conditions

Cystic fibrosis, polycystic kidney, Marfans syndrome, Loeys-Dietz syndrome, spina bifida, scoliosis, kyphosis, pectus excavatum and pectus carinatum.

Circumcision

Circumcision except where medically necessary.

Congenital conditions

Any congenital condition except where expressly covered under the Congenital Condition Surgery Benefit in this policy.

Contraception

Contraception of any type.

Cosmetic

Any elective or cosmetic procedure or any surgery, procedure or treatment that improves, alters or enhances appearance, whether or not undertaken for medical, physical, functional, psychological or emotional reasons.

Criminal activities

Any injury or condition arising from participation in a criminal activity.

Dental/oral surgery

Dental repair or implants, orthodontic treatment, orthognathic, periodontal, or endodontic procedures, implants and related surgery of any kind except where expressly covered under a benefit in this policy. The misuse of prescribed or non-prescribed drugs, including where they have not been taken in accordance with the m anufacturer’ s or registered medical practitioner ’s directions. Any appliances, aids, implants or equipment including but not limited to implantable defibrillators, nerve appliances, hearing aids, cochlear implants, braces, crutches, mouth-guards, orthotics, insulin pumps, CPAP machines and any other appliances or equipment (surgical, medical or dental) except cardiac pacemakers, implantable loop recorders or where expressly covered under a benefit in this policy.

Drugs

Equipment/appliances

Page 22 of 27

Powered by