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Glossary

A

Acute serious illness
An “acute serious illness” shall be determined to exist only after review and agreement by both the attending physician and the Company’s medical...

Anniversary date
The renewal of the insurance

Applicant
A person named on the Application Form and the Medical Questionnaire as an applicant for Insurance.

Application
The Application Form and Medical Questionnaire


C

Claim
The financial demand covered in whole or in part by the Insurance. In the Company’s evaluation/determination of the claim, the time of treatment is...

Co-insurance
The part of the medical expenses the insured must pay if hospitalized in the U.S.A. or Canada.

Commencement
The date indicated in the policy schedule on which the insurance commences, unless otherwise stated in the Policy Conditions.


D

Day case treatment
Treatment which, for medical reasons, normally requires a patient to occupy a bed in hospital or clinic for less than 24 hours.

Deductible
The total amount of money noted in the policy schedule which each insured agrees to pay each policy year before being reimbursed by the Company.

Documents
Any written information related to the insurance including original bills, policy schedules and the like.

Due date
Date on which a premium notice is due to be paid.


H

Hospitalisation
Hospitalisation, surgery, medical treatment, hospital, clinic, inpatient, treatment, insurance, travel insurance, healt


I

Insurance
The Policy Conditions and policy schedule representing the insurance contract with the Company and setting out the scope of the insurance terms,...

Insured
The policyholder and/or all other insured persons as listed in the policy schedule.


O

Outpatient
Surgery or medical treatment in a hospital or clinic where it is not medically necessary to occupy a bed.


P

Policy conditions
The terms and conditions of the insurance purchased.

Policy schedule
Policy details showing the type of insurance purchased, deductible and any special terms.

Policyholder
The person identified as the policyholder on the Application Form.

Pre-existing condition
The medical history, including the illnesses and conditions listed in the Medical Questionnaire, which may affect the Company’s decision to insure...


R

Reimbursement rates
The maximum amount of money, which will be paid by way of reimbursement of medical expenses in 1 year from the commencement date or from each...

Renewal
The automatic renewal of the insurance as per the anniversary date.


S

Serious injury
Restrictions, limitations or conditions applied to the Company's standard terms as detailed in the policy schedule.

Special terms
Restrictions, limitations or conditions applied to the Company's standard terms as detailed in the policy schedule.

Standard terms
The Company’s standard insurance terms with no special restrictions, limitations or conditions.

Subrogation
The insurer’s right to enforce a remedy which the insured has against a third party and the insurer’s right to require the insured to repay the...

Surgery
A surgical treatment/intervention, which does not include endoscopies and scannings even though these examinations may require anaesthesia


T

Terminal phase
When the advent of death is highly probable and medical opinion has rejected active therapy in favour of the relief of symptoms and support of both...


W

Waiting period
A period of time from the commencement date where the insurance provides no cover unless as per specification in Art. 3.