UltraCare
18
Reasonable
– the average cost of
treatment
,
expertise
or services given by
similar types of provider:
•
within the same country or geographical region; and
•
based on
our
experience and knowledge.
Related medical condition
– a
medical condition
that in the opinion of both
your medical practitioner
or
specialist
, and
us
is:
•
a direct or indirect result of another
medical condition
;
•
associated with another
medical condition
; or
•
an associated risk factor of another
medical condition
.
Renewal date
– the anniversary of the
plan
start date
as shown on a valid
Certificate of insurance.
Routine health check
–
diagnostic tests and procedures
where no
medical
condition
or symptoms are present.
Specialist
– a
medical practitioner
who is practising and has a recognised:
•
certificate of higher specialist training;
•
consultant appointment or equivalent;
in the relevant field of medicine in the country where
treatment
is provided.
Start date
– the date
you
join the
plan
or any future
renewal date
as shown on a
valid Certificate of insurance.
Terminal
– the end stages of a
medical condition
where life expectancy is
considered to be days or weeks and only
palliative
treatment
is given.
Therapist
– an osteopath, chiropractor, homeopath, podiatrist, acupuncturist or
Chinese herbalist who is qualified and licensed in the country where
treatment
is
provided.
Treatment
– any surgical or medical services, including
diagnostic tests and
procedures
, that are needed to diagnose, relieve or cure a
medical condition
.
Trip
– a journey or period of travel which does not exceed the duration shown on
your
Travel add-on
plan
Table of
benefits
. This includes the dates of departure
from and the return to the
country where you live
as given to
us
by the
planholder
.
UltraCare plan
– the healthcare
plan
.
Us
– the insurer as shown on the Certificate of insurance.
Valuables
– photographic, audio, video, computer or electrical equipment of
any kind, mobile phones, glasses, sunglasses, binoculars, telescopes, musical
instruments, antiques, fine art, furs, leather goods, animal skins, watches, jewellery,
and any items made of, or containing, gold, silver, precious metals, precious or
semi-precious stones.
Vehicle
– any mode of transport that carries people on land, water or by air.
Visiting doctor
– a
medical practitioner
who is not employed by the
hospital
, but
has a contract to use the
hospital
facilities and may have different charges to the
hospital
tariffs.
We
– see
us
.
You
,
your
,
yourself –
a person who has met the eligibility criteria of the
plan
and
is named on a valid Certificate of insurance.
