J. Defined terms
DEFINED TERM
DEFINITION
ACC
The Accident Compensation Corporation of New Zealand (or its successor).
AIA Vitality
Means AIA Vitality, a health and wellbeing programme offered by AIA New Zealand Limited.
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).
An appendix to your Private Health policy, which contains the terms of an optional benefit you have chosen.
appendix
Any one of the following:
approved facility
> 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 Sovereign.
The anniversary of the risk commencement date of this policy.
anniversary date
Disease caused by the uncontrolled growth of abnormal cells which is histologically diagnosed and characterised by a registered medical specialist as cancer.
cancer
Pre-cancerous conditions, such as cervical, vaginal or prostatic intraepithelial neoplasia (dysplasia) of any grade, are not considered cancer for the purposes of the Cancer Care benefit.
Any biological child/children, adopted child/children or child/children under the legal guardianship of:
child/children
> 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 Sovereign Private Health policy.
congenital condition
A health anomaly or defect which is present at birth and for which the life assured either had signs or symptoms prior to becoming a life assured, or signs or symptoms within 3 months of birth.
A continuous period of cover from the risk commencement date during which the premium is paid for the life assured .
continuous cover
A recognised health professional, who is registered with the Dental Council of New Zealand (or its successor).
dental practitioner
The excess is the amount that you will be responsible to pay for any treatment or procedure before you are entitled to claim for, or be reimbursed for, any benefits that are payable under this policy.
excess
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).
Government authority
A Government agency, department or organisation including without limitation, ACC and Work and Income New Zealand (or its successor).
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