a BMI of: a. 40 or more, or b. 35 or higher and at least one of the following obesity- related diseases that is expected to be improved: - coronary heart disease; - type 2 diabetes; - obstructive sleep apnoea; - osteoarthritis in a weight bearing joint (radiological evidence required); or - blood pressure greater than 140/90 that cannot be effectively controlled via medication; and
o
completed physical growth; and
o
previously failed attempts to lose weight.
o
Excludes any other type of bariatric surgery, such as banded gastroplasty (stomach stapling).
You must seek prior approval before this Allowance is payable.
The maximum amount payable under this Allowance is $7,500 per Life Assured over the lifetime of the Policy across both bilateral breast reduction surgery and bariatric surgery combined. Once this amount has been exhausted no further Allowance is payable. An Annual Excess applies.
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