TCM Personal Progressive Care Policy Wording

Built-in Newborn Children’s Benefit

This twelve month stand down period applies anew to all added cover from the date the added cover commences, including cover added using the Built-in Progressive Care Future Insurability Benefit, the Built-in Special Events Increase Facility, or the Special Events TPD/Trauma Facility under the Life Cover Benefit.

A twelve month stand down period applies to the Built-in Newborn Children’s Benefit, meaning that Sovereign will only pay a claim for a biological child of a life assured where the birth of the child with one of the applicable conditions occurs at least twelve months after the risk commencement date .

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If the medical diagnostic techniques and investigations used in our medical Key terms have been superseded due to medical advancements, we will consider other appropriate and medically recognised methods or tests that conclusively diagnose the condition to at least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.