12
Emergency treatment abroad
What out of area cover do I have on my policy?
Your policy has been designed primarily to provide cover for medical treatment received within
your area of cover. If you do not have the USA upgrade there is some limited out of area cover for
emergency treatment as detailed in the benefits table.
12.1
We pay for eligible:
(a)
Emergency treatment or treatment of a medical condition which arises suddenly whilst
outside of your area of cover up to the limits shown in the benefits table. Please note: this
benefit is only applicable if you do not have the USA upgrade. We will pay the reasonable
charges for the use of a single en-suite room where applicable.
12.2
What we do not pay for:
(a)
Claims if you have travelled outside your area of cover to get treatment (whether or not
that was the only reason) or travelled against medical advice (including the published
advice of the Chief Medical Officer of the Department of Health of England).
(b)
In-patient treatment charges for any hospital outside of the UK which are unreasonable or
excessive.
Can I be repatriated to my principal country of residence or area for
treatment?
There may be reasons why you would prefer to return to your principal country of residence or
area for treatment which does not involve an emergency admission. In this case you will be
covered by the benefits of this policy on return to your principal country of residence or area and
can claim in the usual way. The cost of returning to your principal country of residence or area in
these circumstances will be your responsibility.
What if I am taken ill but the local medical facilities are not adequate to
treat me?
Should you be injured or become ill suddenly and need immediate emergency in-patient
treatment then the evacuation or repatriation service will become available to you.
The evacuation or repatriation service is defined in the glossary as:
moving you to another hospital which has the necessary medical facilities either in the country
where you are taken ill or in another nearby country (evacuation) or bringing you back to your
principal country of residence or your home country (repatriation). The service includes any
Please see page 52 for an explanation of words that appear in bold
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