Please see page 52 for an explanation of words that appear in bold
27
7
Recurrent, continuing and long-term
treatment
Will my policy cover me for recurrent, continuing or long-term treatment?
Your policy covers treatment of medical conditions that respond quickly to treatment – defined in
our glossary as acute conditions.
We define a chronic condition in the glossary on page
as:
A disease, illness or injury that has one or more of the following characteristics:
it needs ongoing or long-term monitoring through consultations, examinations, check-ups
and/or tests
it needs ongoing or long-term control or relief of symptoms
it requires your rehabilitation or for you to be specially trained to cope with it
it continues indefinitely
it has no known cure
it comes back or is likely to come back.
This policy also covers you against the costs of recurrent, continuing or long-term treatment of
chronic conditions.
7.1
We pay for eligible:
(a)
Treatment of an acute condition and ongoing, recurrent or long-term treatment of any
chronic condition (subject to all other benefit limitations and exclusions on your policy) up
to a maximum of 120 days per admission as an in-patient for any medical condition.
(b)
The monitoring of a medical condition.
(c)
Routine follow-up consultations.
(d)
Kidney dialysis for up to six weeks during preparation for kidney transplant and regular or
long-term kidney dialysis in the case of chronic kidney failure (subject to the limits shown
in the benefits table).
(e)
In-patient rehabilitation of up to 28 days when it is an integral part of treatment; and
it is carried out by a medical practitioner specialising in rehabilitation
it is carried out in a recognised rehabilitation hospital or unit
the costs have been agreed by us before the rehabilitation begins.
We will extend in-patient rehabilitation to a maximum of 180 days in cases of severe
central nervous system damage caused by an external trauma.
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