Page 30 - European Health Cover
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(d)
Any telephone or travelling expenses incurred in seeking dental advice or treatment.
(e)
Damage to dentures unless being worn at the time of the accident.
Will my policy cover me for new or experimental treatments?
Your policy only covers you for established medical treatments.
Be aware:
There is no cover for any treatment or procedure that has not been established as being effective
or which is experimental.
6.5
We pay for eligible:
(a)
Surgical procedures listed in a technical document, called the schedule of procedures and
fees, which lists the surgical procedures we pay benefits for. We will pay for treatment not
listed if, before the treatment begins, it is established that the treatment is recognised as
appropriate by an authoritative medical body and we have agreed with the medical
practitioner and the hospital what the fees will be. If you would like a copy of the schedule
of procedures and fees please refer to the AXA PPP International website:
.
(b)
Reasonable costs incurred for a live donor to donate an organ or tissue provided that:
•
the operations to both the donor and the recipient are carried out simultaneously; and
either
•
both the donor and the recipient are immediate relatives (ie parent, child or sibling) and
either the donor or the recipient is covered on this policy; or
•
both the donor and the recipient are members of AXA PPP International at the time the
operations are carried out and both have been members since before the recipient
developed the medical condition requiring the transplant (see also
).
6.6
What we do not pay for:
(a)
The use of a drug which has not been established as being effective or which is
experimental. This means they must be licensed for use by the European Medicines
Agency or the Medicines and Healthcare products Regulatory Agency and be used within
the terms of that licence.
(b)
Treatment which has not been established as being effective or which is experimental. For
established treatment, this means procedures and practices that have undergone
appropriate clinical trial and assessment, sufficiently evidenced in published medical
journals for specific purposes to be considered proven safe and effective therapies.
(c)
The cost of collecting donor organs or tissue or for any related administration costs (such
as, but not limited to, the cost of a donor search).
Please see page 56 for an explanation of words that appear in bold
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