EXCLUSIONS and LIMITATIONS– AIG INTERNATIONAL TRAVEL MEDICAL
INSURANCE PLAN
The plan will not pay benefits for any loss or injury that is caused by or results from:
•
Intentionally self-inflicted injury; suicide or attempted suicide. (Applicable to Accidental
Death and Dismemberment Benefit only)
•
War or any act of war, whether declared or not.
•
A Covered Accident that occurs while a Covered Person is on active duty service in the
military, naval or air force of any country or international organization. Upon receipt of
proof of service, we will refund any premium paid for this time. Reserve or National
•
Guard active duty training is not excluded unless it extends beyond 31 days.
•
Piloting or serving as a crewmember in any aircraft (unless otherwise provided in the
Policy).
•
Commission of, or attempt to commit, a felony.
•
Sickness, disease, bodily or mental infirmity, bacterial or viral infection, or medical or
surgical treatment thereof, except for any bacterial infection resulting from an accidental
external cut or wound or accidental ingestion of contaminated food (Applicable to
accident benefits only).
•
Riding in any aircraft except as a fare-paying passenger on a regularly scheduled or
charter airline.
•
Commission of or active participation in a riot or insurrection.
In addition, the plan will not pay Medical Expense Benefits for any loss, treatment, or services resulting
from:
•
Routine physicals and care of any kind.
•
Routine dental care and treatment.
•
Routine nursery care.
•
Cosmetic surgery, except for reconstructive surgery needed as the result of an Injury.
•
Eye refractions or eye examinations for the purpose of prescribing corrective lenses or for
the fitting thereof; eyeglasses, contact lenses, and hearing aids.
•
Services, supplies, or treatment including any period of Hospital confinement which is not
recommended, approved, and certified as Medically Necessary and reasonable by a Doctor,
or expenses which are non-medical in nature.
•
Treatment or service provided by a private duty nurse.
•
Treatment by any Immediate Family Member or member of the Insured’s household.
“Immediate Family Member” means a Covered Person’s spouse, child, brother, sister,
parent, grandparent, or in-laws.
•
Expenses incurred during travel for purposes of seeking medical care or treatment, or for
any other travel that is not in the course of the Policyholder’s activity (unless Personal
Deviations are specifically covered).
•
Medical expenses for which the Covered Person would not be responsible to pay for in the
absence of the Policy. Expenses incurred for services provided by any government Hospital
or agency, or government sponsored plan for which, and to the extent that, the Covered
Person is eligible for reimbursement.
•
Any treatment provided under any mandatory government program or facility set up for
treatment without cost to any individual.
•
Custodial care.