Don’t forget that your protection has exclusions for conditions that were not Stable and Controlled.
If you think that one of your conditions might not meet the stability clause, ask about our Reduced Stability Period option; we may be able to cover that condition.
“Stable and Controlled”
To be covered, any medical condition (whether declared or undeclared) must have been Stable and Controlled for a period of 6 months before the departure date (3 months for persons of less than 60 years old).
“Stable and Controlled” – Means any Medical Condition (other than a Minor Ailment) for which all the following statements are true:
1. There has not been a new diagnosis, any new Treatment prescribed or recommended, or Change(s) to existing Treatment (including a stoppage in Treatment), and
2. There has not been any Change to any existing prescribed Medication (including an increase, decrease, or stoppage to prescribed dosage), or any recommendation or starting of a new prescription Medication (Exceptions the routine adjustment of Coumadin, Warfarin or insulin and the change from a brand name Medication to a generic brand Medication of the same dosage); and
3. There has not been any new, more frequent or more severe Symptoms, and
4. There has not been any Hospitalization or referral to a specialist, and
5. There has not been any medical exam, investigative testing or test results showing deterioration; and
6. There has not been any Treatment recommended, planned or not yet completed, nor any outstanding test results.
All of the above conditions must be met for a Medical Condition to be considered Stable and Controlled.
The meaning of words written in italics is explained in the “Definitions” section of the policy wording.
We also suggest you take a few minutes to read the 5 Golden Rules of the Insured Client, as well as our document on How to prevent a claim denial.