50
51
Exclusion
Notes
rules
USA
treatment
If
you
have not bought cover for the USA, then
we
will not pay for
treatment
received in the USA.
If
you
have bought cover for the USA,
we
will not pay for
treatment
received there when:
{
{
prior approval for
your treatment
was not given by
our service partner
in the USA (please read 'Prior approval'
section), and
{
{
we
know or suspect that
you
purchased cover for and travelled to the USA for the purpose of receiving
treatment
for a
condition, when
you
had already experienced symptoms of that condition. This applies whether or not
your treatment
was the main or sole purpose of
your
visit
Please note: If
you
have previously disclosed a
pre-existing condition
to
us
which is listed on
your
membership certificate
and
we
have not specifically excluded cover for the costs of
treatment
of the
pre-existing condition
, this will not apply
for any
treatment you
receive in the USA in respect of that
pre-existing condition
. If
you
receive
treatment
in the USA
for a
pre-existing condition
which is shown on
your
membership certificate,
you
will not be covered for the costs of such
treatment
irrespective of whether the
pre-existing condition
was disclosed to
us
and is shown on
your
membership
certificate.
