Pre-Existing Condition

• Medical
  • Pre-Existing Condition

  • Covered

• What is Pre-Existing Condition?
  A Pre-Existing Condition is an illness or other medical condition that was treated, diagnosed, or changed during a policy’s lookback period.

• What am I covered for?
  MedjetAssist medical transport services are not available to a Member for any injury, illness, or condition existing at the time of enrollment where inpatient medical care has already been scheduled or recommended by a health care provider.

  A Member traveling outside his or her Home Country for the purpose of seeking medical treatment, whether inpatient or outpatient, experimental or otherwise, is not eligible for MedjetAssist medical transport services for that specific trip.

  A Member who is medically discharged from the hospital, or leaves against medical advice and is physically able to travel on their own, is not eligible for MedjetAssist medical transport services for the remainder of the Member’s trip.

  A Member with tuberculosis or other chronic airborne pathogens will not be transported.

  A Member beyond 12 weeks intrauterine gestation will not be transported and any member with any extrauterine pregnancy will not be transported.

  Medical transport services will not be provided in cases where the Member’s primary admitting diagnosis is an inpatient psychiatric disorder.

• Definitions
  There are no definitions for this plan.

• Exclusions
  1. General Limitations on Services

  MedjetAssist services are not available to a Member if his or her illness or injury is a result of or is contributed to by the following:

  - War, invasion, or civil war;

  - Suicide, attempted suicide, or intentional self-injury;

  - A Member’s own criminal or felonious act;

  - A Member’s psychiatric disorder;

  - A Member’s use or abuse of alcohol or drugs as described herein below.

  2. Limitations on Medical Transport Services

  MedjetAssist Regular Membership medical transport services are limited to two (2) separate medical transports per Membership Year, except for repatriation transports involving multiple enrolled family members requiring simultaneous repatriation. Under these circumstances, each family member will receive one (1) transport.

  Due to the high risk of sending registered aircraft and personnel into countries where the United States Department of State has issued travel restrictions, membership services are subject to exclusion in these areas.

  MedjetAssist medical transport services are not available to a Member for any injury, illness, or condition existing at the time of enrollment where inpatient medical care has already been scheduled or recommended by a health care provider.

  A Member traveling outside his or her Home Country for the purpose of seeking medical treatment, whether inpatient or outpatient, experimental or otherwise, is not eligible for MedjetAssist medical transport services for that specific trip.

  A Member who is medically discharged from the hospital, or leaves against medical advice and is physically able to travel on their own, is not eligible for MedjetAssist medical transport services for the remainder of the Member’s trip.

  A Member with tuberculosis or other chronic airborne pathogens will not be transported.

  Medical transport services will not be provided to any Member who has a diagnosis of, or is suspected of having, a Biosafety Class Level 3 (and above) pathogen as classified by either the Centers for Disease Control and Prevention (CDC) or the National Institutes of Health (NIH).

  A Member beyond 12 weeks intrauterine gestation will not be transported, and any Member with any extrauterine pregnancy will not be transported.

  Medical transport services will not be provided in cases where the Member’s primary admitting diagnosis is an inpatient psychiatric disorder.

  Medical transport services will not be provided to any Member hospitalized as a result of the use or abuse of alcohol or drugs (illicit or prescription), including, without limitation, hospitalization for addiction, withdrawal, or complications of alcohol or drug abuse.

  A Member who is hospitalized at the time of enrollment will not be eligible for transport services for that hospitalization.

  A Member on an organ transplant list prior to enrollment will not be eligible for transport for that transplant.