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MEDOC® TRAVEL INSURANCE PLAN - Johnson Inc.

MEDOC® TRAVEL INSURANCE PLAN - Johnson Inc.

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EXCLUSIONS & LIMITATIONS<br />

Additional Exclusions and Limitations:<br />

All Exclusions and Limitations apply to you under this insurance<br />

regardless of plan type or Health Option.<br />

The “*” indicates which type of benefit(s) are excluded or<br />

limited.<br />

This insurance does not cover any expenses incurred directly or<br />

indirectly as a result of the following:<br />

Medical<br />

Trip Interruption/Delay<br />

Trip Cancellation<br />

1. Any medical condition if any of your answers provided in the<br />

Health Option Questionnaire are not complete and accurate.<br />

* * *<br />

2. Any treatment that is not emergency treatment. * * *<br />

3. An emergency and/or event which requires you to submit a<br />

claim while the coverage is not in force.<br />

4. Any portion of the benefits that require prior authorization<br />

and arrangement by the MEDOC Claims Assistance Centre<br />

if the MEDOC Claims Assistance Centre has not preauthorized<br />

and arranged them.<br />

5. The continued treatment, recurrence, investigation or<br />

complications of a medical condition following emergency<br />

treatment for that medical condition during your trip if the<br />

medical advisors of the MEDOC Claims Assistance Centre<br />

determine you were medically able to return to your<br />

province or territory of residence and you chose not to.<br />

After receiving emergency treatment for a medical<br />

condition, this insurance will not cover you for that medical<br />

condition, or related condition, for any other trips within the<br />

90 days following your emergency treatment, including trips<br />

within the policy year for the Base Plan.<br />

6. Treatment of any heart or lung condition following<br />

emergency treatment for any related or unrelated heart or<br />

lung condition during your trip, if the medical advisors of<br />

the MEDOC Claims Assistance Centre determine you were<br />

medically able to return to your province or territory of<br />

residence and you chose not to. After receiving emergency<br />

treatment for any heart or lung condition, this insurance will<br />

not cover you for any heart or lung condition for any other<br />

trips within the 90 days following your emergency<br />

treatment, including trips within the policy year for the Base<br />

Plan.<br />

* * *<br />

* * *<br />

* *<br />

* *<br />

Effective – Sept. 1/10 17 GROUP A

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