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Medically Necessary means that a treatment, service, or supply:
(a) is essential for diagnosis, treatment, or care of the Injury or Sickness for which it is prescribed or performed; and
(b) meets generally accepted standards of medical practice; and
(c) is ordered by a Physician and performed under his or her care, supervision, or order; and
(d) is not primarily for the convenience of the Insured, Physician, other providers, or any other person.
Mental or Psychological Disorder means a mental health condition including, but not limited to: anxiety, depression,
neurosis, phobia, psychosis; or any related physical manifestation. Autism, and its related symptoms, are not considered a
Mental or Psychological disorder. Additionally, neurodegenerative diseases (e.g. Parkinson’s, Huntington’s, etc.) are not
considered Mental or Psychological Disorders, even if their symptoms meet this definition.
Mountain Climbing means the ascent or descent of a mountain requiring the use of specialized equipment, including,
but not limited to, ropes, belay devices, pick-axes, anchors, bolts, crampons, carabiners, and lead or top-rope anchoring
equipment.
Natural Disaster means a flood (due to natural causes), tsunami, hurricane, tornado, earthquake, mudslide,
avalanche, landslide, volcanic eruption, sandstorm, sinkhole, wildfire or blizzard.
Necessary Personal Effects means items to replace belongings such as clothing and toiletry items, that are included
in the Insured’s Baggage and are required for the Insured’s Trip and will also include expenses incurred to clean
the clothing items purchased. Necessary personal effects do not include jewelry, perfume or alcohol.
Normal Pregnancy or Childbirth means a pregnancy or childbirth that is free of complications or problems.
Owned or Rented Vehicle means a self-propelled private passenger motor vehicle that is of a type both designed
and required to be licensed for use on the highways of any state or country, that is rented or owned by the Insured.
Owned or rented vehicle does not include any motor vehicle that is used in mass or public transit.
Physician means a licensed practitioner of medical, surgical, or dental or veterinary services acting within the scope
of their license. The treating physician cannot be the Insured, a Traveling Companion, a Family Member, or a
Business Partner.
Pre-Existing Medical Condition means an Injury, Sickness or other condition of the Insured, Traveling
Companion, Family Member, Host at Destination or Business Partner to which any of the following applied
within the 180 day period immediately preceding and including the purchase date of this plan:
(a) first manifested itself, worsened, became acute or had symptoms that would have prompted a reasonable person to
seek diagnosis, care or treatment, or;
(b) care, testing or treatment was given or recommended by a Physician, or;
(c) required a change in prescribed medication.
Change in prescribed medication means the dosage or frequency of a medication has been reduced, increased, stopped
and/or new medications have been prescribed due to the worsening of an underlying condition that is being treated with
the medication, unless the change is:
(a) between a brand name and a generic medication with comparable dosage; or
(b) an adjustment to insulin or anti-coagulant dosage.
Death resulting from a pre-existing medical condition will not be excluded. The death must occur prior to the termination
date of the benefit under which the claim is being made.
Primary means the Company will pay before any other insurance or indemnity.
Primary Residence means the Insured’s fixed and permanent home for legal and tax purposes.
Reasonable Additional Expenses means expenses for meals, essential telephone calls, local transportation (taxi
fares, mass transit, rental vehicle, etc.), parking costs, internet usage fees, and lodging that are necessarily incurred as the
result of an Unforeseen event, and that are not provided by the Common Carrier or any other party free of charge.
Reasonable and Customary Charges means expenses that:
(a) are charged for treatment, supplies, or medical services Medically Necessary to treat the Insured’s condition;
and
(b) do not exceed the usual level of charges for similar treatment, supplies or medical services in the locality where the
expenses are incurred; and
(c) do not include charges that would not have been made if no insurance existed.
In no event will the reasonable and customary charges exceed the actual amount charged.
Rental Return Date means the return date listed on the car rental agreement.
Return Date means the date on which the Insured is scheduled to return to the point where the Trip started or to a
different specified Return Destination. This date is shown in the travel documents.
Return Destination means the Insured’s Primary Residence, or a different final Destination as shown in the
travel documents.
Riot means three or more people violently disturbing the peace causing immediate danger, damage, or injury to others
or to property.
Schedule means the Schedule of Benefits shown in the front of this Policy.
Sickness means an illness or disease diagnosed and/or treated by a Physician after the effective date of coverage of
the Policy. This does not include Mental or Psychological Disorders.
Strike means a stoppage of work, work slowdown, or sickout that:
(a) is announced, organized, and sanctioned by a labor union or other organized association of workers, in a trade or
profession, formed to protect and further their rights and interests; and
(b) interferes with the normal departure and arrival of a Common Carrier.
The Insured’s coverage must be effective prior to when a strike is foreseeable. A strike is foreseeable on the earliest of:
(a) the date labor union members vote to approve a strike; or
(b) the date a strike takes place; or
(c) when the strike dates are published by a news media source.
A strike is considered to be ongoing, and therefore foreseeable, until a documented resolution is reached on the issues
causing the labor dispute, or the stoppage of work ceases to interfere with the normal departure and arrival of a
Common Carrier for at least 365 consecutive days.
Terrorist Incident means an act of violence that is deemed terrorism by the U.S. Department of State, or that is
committed by any person acting on behalf of, or in connection with, any organization that is classified as a Foreign
Terrorist Organization by the U.S. Department of State. For the purpose of this definition, the following are not considered
terrorist incidents, even if committed by any person acting on behalf of, or in connection with, any organization that is
classified as a Foreign Terrorist Organization by the U.S. Department of State: an act of war (declared or undeclared),
C.B.R.N. Incident, Cyber Attack, Civil Disorder, Electromagnetic Event or Riot.
Time Sensitive Period means within 21 days of Initial Trip Payment.
Transportation means any land, sea or air conveyance required to transport the Insured during an Emergency
Evacuation.