Page 29 - European Health Cover

(q) Any treatment costs incurred as a result of engaging in or training for any sport for which
you receive a salary or monetary reimbursement, including grants or sponsorship (unless
you receive travel costs only).
(r) Treatment of injuries sustained from base jumping, cliff diving, flying in an unlicensed
aircraft or as a learner, martial arts, free climbing, mountaineering with or without ropes,
scuba diving to a depth of more than 10 metres, trekking to a height of over 2,500 metres,
bungee jumping, canyoning, hangliding, paragliding or microlighting, parachuting, potholing,
skiing off piste or any other winter sports activity carried out off piste.
Will my policy cover me for dental treatment?
There is limited cover as detailed below:
6.3 We pay for eligible:
(a) Level 3 members:Treatment made necessary by an accidental injury caused by an
extra-oral impact, up to the limits shown in the benefits table when the following conditions
will apply:
• if the treatment involves replacing a crown, bridge facing, veneer or denture we will pay
only the reasonable cost of a replacement of similar type or quality;
• if implants are clinically needed we will pay only the cost which would have been
incurred if equivalent bridgework was undertaken instead;
• damage to dentures providing they were being worn at the time of the injury.
6.4 What we do not pay for:
(a) Level 1 and level 2 members: any dental treatment.
(b) Level 3 members: The following dental treatments:
• routine check-ups
• scale and polish
• cosmetic treatment
• dental treatment made necessary as a result of neglect (neglect means failure to visit
the dentist at least once in every year, such as treatment of gingivitis or periodontitis.
(c) The cost of treatment made necessary by an accidental dental injury if:
• the injury was caused by eating or drinking anything, even if it contains a foreign body
• the damage was caused by normal wear and tear
• the injury was caused when boxing or playing rugby (except school rugby) unless
appropriate mouth protection was worn
• the injury was caused by any means other than extra-oral impact
• the damage was caused by toothbrushing or any other oral hygiene procedure
• the damage is not apparent within seven days of the impact which caused the injury
• the costs are incurred more than 18 months after the date of the injury which made the
treatment necessary.
26 Our team of Personal Advisers is available on +44 (0) 1892 556 274